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OPERATIONS SECTION CHIEF

Mission: Develop and implement strategies and tactics to carry out the objectives established by the Incident Commander. Organize, assign, and supervise the resources of the Staging Area, the Medical Care, Infrastructure, Security, Hazardous Materials (HazMat), Business Continuity, and Patient Family Assistance Branches.

Position Reports to: Incident Commander Command Location:

Position Contact Information: Phone: ( ) - Radio Channel:

Hospital Command Center (HCC): Phone: ( ) - Fax: ( ) -

Position Assigned to: Date: / / Start: ____:____ hrs.

Signature: Initials: End: ____:____ hrs.





Immediate Response (0 – 2 hours) Time InitialReceive appointment

Obtain a briefing from the Incident Commander on: o Size and complexity of the incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Operations Section Chief Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Obtain information and status from the Staging Manager, and the Medical Care,

Infrastructure, Security, Hazardous Materials (HazMat), Business Continuity, and Patient Family Assistance Branch Directors

Provide information to the Incident Commander on the operational situation including capabilities and limitations

Determine the incident objectives, tactics, and assignments Determine which Operations Section functions need to be activated:

o Staging Areao Medical Care Brancho Infrastructure Brancho Security Brancho HazMat Brancho Business Continuity Brancho Patient Family Assistance Branch

Document section objectives, tactics, and assignments on the HICS 204 – Assignment List

Make assignments and distribute corresponding Job Action Sheets and position identification

HICS 2014 | of 6


Determine strategies and how the tactics will be accomplished Determine needed resources

Brief section personnel on the situation, strategies, and tactics, and designate a time for the next briefing

If no Branch Directors or Staging Managers are assigned, complete the highlighted and blue-shaded priorities on the Branch Director’s and Staging Manager’s job action sheets. If this is a HazMat event, refer to the HazMat Branch Director’s job action sheets.

Activities Ensure the following are being addressed with the appropriate branch or unit:

o Staff health and safetyo Patient trackingo Patient careo Patient family supporto Transfers into and from the hospitalo Fatality managemento Information sharing with other hospitals and local agencies (e.g., emergency

medical services, fire, law, public health and emergency management) in coordination with the Liaison Officer

o Personnel and resource movement through the staging areao Documentationo Patient care treatment standards and case definitions with public health

officials, as appropriate o Ensure coordination with any assisting or cooperating agency or corporate

command centero Personnel needs with Logistics Section Labor Pool and Credentialing Unit

Leader, supply and equipment needs with the Logistics Section Supply Unit Leader, projections and needs with the Planning Section, and financial matters with the Finance/Administration Section

Ensure that the Operations Section is adequately staffed and supplied Communicate with Operations Section personnel to:

o Obtain information and updates regularly from Operations Section Branch Directors and Staging Manager

o Maintain the current status of all areaso Inform the Planning Section Situation Unit Leader of status information

Conduct an Operations Briefing to present the Incident Action Plan (IAP) to clarify staff responsibilities

Collaborate with appropriate Medical-Technical Specialists as needed Communicate with other Section Chiefs:

o Logistics Section for resource needs and activitieso Planning Section for activities that have occurred; then keep updated with

status and utilization of resourceso Finance/Administration Section for personnel time records; potential

compensation and claims and canceled surgeries and procedures HICS 205A: Distribute the Communications List appropriately HICS 213: Document all communications on a General Message Form HICS 214: Document all key activities, actions, and decisions in an Activity Log on

a continual basis HICS 251: As appropriate, complete a Facility System Status Report and report the

results to the Incident Commander HICS 252: Distribute a Section Personnel Time Sheet to section staff; ensure time

is recorded appropriately, and submit to Finance/Administration Section Time Unit

HICS 2014 | of 6


Leader at the completion of a shift or end of each operational period HICS 257: Track the equipment used on the Resource Accounting Record

Resources Determine equipment and supply needs; request them from the Logistics Section

Supply Unit Leader Assess issues and needs in section areas; coordinate resource management Make requests for external assistance, as needed, in coordination with the

Liaison OfficerCommunication

Hospital to complete: Insert communications technology, instructions for use and protocols for interface with external partners

Safety and security Ensure that all section personnel comply with safety procedures and instructions Determine if a communicable disease risk exists; implement appropriate

response procedures collaborating with the appropriate Medical-Technical Specialist, if activated

Ensure personal protective equipment (PPE) is available and utilized appropriately

Intermediate Response (2 – 12 hours) Time Initial

Activities Transfer the Operations Section Chief role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,

response actions, available resources, and the role of external agencies in support of the hospital

o Address any health, medical and safety concernso Address political sensitivities, when appropriateo Instruct your replacement to complete the appropriate documentation and

ensure that appropriate personnel are properly briefed on response issues and objectives (see HICS Forms 203, 204, 214, and 215A)

Ensure the following are being addressed with the appropriate section, branch, or unit:o Section personnel health and safetyo Patient trackingo Patient careo Patient family supporto Transfers into and from the hospitalo Fatality managemento Information sharing with other hospitals and local agencies (e.g., emergency

medical services, fire, law, public health and emergency management) in coordination with the Liaison Officer

o Personnel and resource movement through the staging areao Documentationo Patient care treatment standards and case definitions with public health officials,

as appropriate o Ensure coordination with any assisting or cooperating agencyo Personnel needs with Logistics Section Labor Pool and Credentialing Unit

Leader, supply and equipment needs with the Logistics Section Supply Unit Leader, projections and needs with the Planning Section, and financial matters

HICS 2014 | of 6



with the Finance/Administration Section Ensure that the Operations Section is adequately staffed and supplied Brief the Incident Commander, Public Information Officer, and Liaison Officer

regularly on the status of the Operations Section Designate a time for a briefing and updates with Operations Section leadership to

update the Incident Action Plan (IAP) Schedule meetings with the Branch Directors and Staging Manager to update the

section plans and demobilization procedures

Documentation HICS 204: Document assignments and operational period objectives on

Assignment List HICS 213: Document all communications on a General Message Form HICS 214: Document actions, decisions, and information received on Activity Log

Resources Ensure equipment, supplies, and personal protective equipment (PPE) are replaced

as needed, coordinating with Logistics Section Supply Unit Leader

CommunicationHospital to complete: Insert communications technology, instructions for use and protocols for interface with external partners

Safety and security Review personnel protective equipment use; revise as needed Ensure staff health and safety issues are being addressed; report issues to the

Safety Officer and Logistics Section Employee Health and Well-Being Unit Ensure patient safety issues are identified and addressed Ensure personal protective equipment (PPE) is available and utilized

appropriately

Extended Response (greater than 12 hours) Time Initial

Activities Transfer the Operations Section Chief role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue to monitor the ability of Operations Section personnel to meet workload demands, personnel health and safety, resource needs, and documentation practices

Address issues related to ongoing patient care including:o Ongoing patient arrivalo Bed availabilityo Patient transferso Patient tracking

HICS 2014 | of 6


o Staff health and safetyo Behavioral health for patients, families, staff, and incident management

personnelo Fatality managemento Staffingo Staff prophylaxiso Medicationso Equipment and supplieso Personnel and resource movement through staging areao Coordination with other area hospitalso Documentation

Brief the Incident Commander, Public Information Officer, and Liaison Officer regularly on the status of the Operations Section

Designate a time for a briefing and updates with Operations Section leadership to update the Incident Action Plan (IAP)


Assignment List HICS 213: Document all communications on a General Message Form HICS 214: Document actions, decisions, and information received on Activity Log HICS 257: Track equipment used during the response on the Resource Accounting

Record

Resources Monitor levels of all supplies and equipment, and collaborate on needs with the

Logistics Section Supply Unit Leader


Safety and security Observe section personnel for signs of stress and inappropriate behavior; report

issues to the to the Safety Officer and Logistics Section Employee Health and Well-Being Unit

Provide for personnel rest periods and relief Ensure your physical readiness through proper nutrition, water intake, rest, and

stress management techniques Ensure personal protective equipment (PPE) is available and utilized

appropriately

Demobilization/System Recovery Time Initial

Activities Transfer the Operations Section Chief role, if appropriate

o Conduct a transition meeting to brief your replacement on the current situation, demobilization actions, available resources, and the role of external agencies in support of the hospital


ensure that appropriate staff are properly briefed on response issues and objectives (see HICS Forms 203, 204, 214, and 215A)

HICS 2014 | of 6


As objectives are met and needs decrease, return the Operations Section personnel to their usual jobs and combine or deactivate positions in a phased manner, in coordination with the Planning Section Demobilization Unit Leader

Assist Section Chiefs in restoring the hospital to normal operations Through the Liaison Officer and Public Information Officer, share patient information

with external agencies as needed and in accordance with patient privacy policies Work with the Planning and Finance/Administration Sections to complete cost data

information collection Upon deactivation of your position, brief the Incident Commander on current

problems, outstanding issues, and follow up requirements Debrief section personnel on lessons learned and procedural or equipment changes

needed Participate in other briefings and meetings as required

Submit comments to the Planning Section for discussion and possible inclusion in an After Action Report and Corrective Action and Improvement Plan. Topics include:o Review of pertinent position descriptions and operational checklistso Recommendations for procedure changeso Accomplishments and issues

Participate in stress management and after action debriefings

Documentation HICS 221: Demobilization Check-Out Ensure all documentation is submitted to the Planning Section Documentation Unit

Documents/Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 205A - Communications List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 251 - Facility System Status Report HICS 252 - Section Personnel Time Sheet HICS 254 - Disaster Victim/Patient Tracking HICS 255 - Master Patient Evacuation Tracking HICS 257 - Resource Accounting Record HICS 259 - Hospital Casualty/Fatality Report HICS 260 - Patient Evacuation Tracking Hospital Emergency Operations Plan Incident Specific Plans or Annexes Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication

HICS 2014 | of 6

STAGING MANAGER

Mission: Organize and manage the deployment of supplementary resources, including personnel, vehicles, equipment, supplies, and medications.

Position Reports to: Operations Section Chief Command Location:









Immediate Response (0 – 2 hours) Time Initial

Receive appointment Obtain briefing from the Operations Section Chief on:o Size and complexity of the incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Staging Manager Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Obtain information and status from Staging Areas Provide information to the Operations Chief on the operational situation

Determine area objectives, tactics, and assignments Document area objectives, tactics, and assignments on the HICS 204:

Assignment List Determine which Staging Area Teams need to be activatedo Personnel Staging Teamo Vehicle Staging Teamo Equipment/Supply Staging Teamo Medication Staging Team

Based on the incident objectives for the response period consider the issues and priorities:o Determine strategies and how the tactics will be accomplishedo Determine needed resources

Make assignments; distribute corresponding Job Action Sheets and position identification

Brief area personnel on the situation, strategies, and tactics, and designate time for next briefing

HICS 2014 | Page 1 of 5

STAGING MANAGER

Activities Coordinate delivery to requesting areas of needed resources:o Personnelo Vehicleso Equipment and supplieso Medications

Participate in the planning meeting and development of the Incident Action Plan (IAP)

Implement Staging Area plans, if appropriate, and monitor activitieso Identify an appropriate area to serve as staging area for the receipt and

distribution of personnel and equipmento Assess problems and needs; coordinate resource managemento Instruct all Staging Team Leaders to inventory and evaluate onsite equipment,

supplies, and medications; then coordinate their needs with the Logistics Section Supply Unit Leader

o Coordinate staffing needs with the Logistics Section Labor Pool and Credentialing Unit Leader; report status to the Operations Section Chief

o Ensure the prioritization of problems when multiple issues are presented Communicate regularly with Staging Area Team Leaders and Operation Section

personnel Consider development of an area action plan; submit to the Operations Chief if

requested Brief Staging Team Leaders on the current situation; outline the Staging Area

action plans, if used, and confirm the time for the next briefing Regularly report the Staging Area status to the Operations Section Chief Advise the Operations Section Chief immediately of any operational issue you are

not able to correct Communicate regularly with other section chiefs Meet with the Operations Section Chief and the Logistics Section Chief, as

appropriate, to discuss plan of action and staffing in all activities


Assignment List HICS 213: Document all communications on a General Message Form HICS 214: Document all key activities, actions, and decisions in an Activity Log on

a continual basis HICS 252: Distribute Section Personnel Time Sheet to Staging Area personnel;

ensure time is recorded appropriately, and submit it to the Finance/Administration Section Time Unit Leader at the completion of a shift or end of each operational period

Resources Assess issues and needs in Staging Areas; coordinate resource management Ensure equipment, supplies, and personal protective equipment (PPE) are

available as needed

Communication Hospital to complete: Insert communications technology, instructions for use and protocols for interface with external partners

Safety and security Ensure that all area personnel comply with safety procedures and instructions Ensure personal protective equipment (PPE) is available and utilized

appropriately


STAGING MANAGER


Activities Transfer the Staging Manager role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,


o Address any health, medical, and safety concernso Address political sensitivities, when appropriateo Instruct your replacement to complete the appropriate documentation and


Communicate resource problems encountered to the Logistics Section Chief, as appropriate

Coordinate patient care support and staffo Continue coordinating delivery of needed personnel, equipment, supplies,

medications, and support services, working with the Logistics and Planning Sections and the Operations Section Branch Directors, as needed

o Coordinate the use of external resourceso Ensure documentation is completed correctly and collected

Coordinate the assignment and orientation of external personnel sent to assist the Staging Teams

Meet regularly with the Operations Section Chief for status reports Advise the Operations Section Chief immediately of any operational issue you are

not able to correct Provide status updates to team leaders


Assignment List HICS 213: Document all communications on a General Message Form HICS 214: Document all key activities, actions, and decisions in an Activity Log on a

continual basis

Resources Assess issues and needs in Staging Areas; coordinate resource management Ensure equipment, supplies, and personal protective equipment (PPE) are replaced

as needed


Safety and security Ensure that all area personnel comply with safety procedures and instructions Ensure physical readiness through proper nutrition, water intake, rest, and stress

management techniques Ensure personnel health and safety issues are being addressed; report issues to

the Safety Officer and the Logistics Section Employee Health and Well-Being Unit Ensure personal protective equipment (PPE) is available and utilized

appropriately


STAGING MANAGER






Monitor operations and documentation Continue to monitor the ability of the Staging Area Teams to meet workload

demands, personnel health and safety, resource needs, and documentation practices



continual basis


as needed


Safety and security Ensure that all area personnel continue to comply with safety procedures and

instructions Observe all staff and volunteers for signs of stress and inappropriate behavior and

report concerns to the Safety Officer and the Logistics Section Employee Health and Well-Being Unit Leader

Provide for staff rest periods and relief Ensure physical readiness through proper nutrition, water intake, rest, and stress

management techniques Ensure personal protective equipment (PPE) is available and utilized

appropriately




o Address any health, medical, and safety concernso Address political sensitivities, when appropriate


STAGING MANAGER

o Instruct your replacement to complete the appropriate documentation and ensure that appropriate personnel are properly briefed on response issues and objectives (see HICS Forms 203, 204, 214, and 215A)

As needs for Staging Area decrease, return staff to their normal jobs and combine or deactivate positions in a phased manner, in coordination with the Planning Section Demobilization Unit Leader

Assist the Operations Section Chief with restoring hospital resources to normal operating conditions

Ensure the return, retrieval, and restocking of equipment and supplies Notify the Operations Section Chief when demobilization and restoration is complete Upon deactivation of your position, brief the Operations Section Chief on current

problems, outstanding issues, and follow up requirements Debrief area personnel on issues, strengths, areas of improvement, lessons

learned, and procedural or equipment changes as needed Submit comments to the Planning Section Chief for discussion and possible

inclusion in an After Action Report and Corrective Action and Improvement Plan. Topics include:o Review of pertinent position descriptions and operational checklistso Recommendations for procedure changeso Accomplishments and issues



Documents/Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital blueprints and maps Hospital Incident Specific Plans or Annexes Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


STAGING MANAGER


PERSONNEL STAGING TEAM LEADER

Mission: Organize and manage the deployment of supplementary personnel resources.

Position Reports to: Staging Manager Command Location:










Receive appointment Obtain briefing from the Staging Manager on:o Size and complexity of the incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Personnel Staging Team Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Obtain information and status from Staging Areas, the Planning Section Personnel

Tracking Manager, and the Logistics Section Labor Pool and Credentialing Unit Leader

Provide information to the Staging Manager on the operational situation

Determine area objectives, tactics, and assignments Document staging area objectives, tactics, and assignments on the HICS 204:

Assignment List Based on the incident objectives for the response period consider the issues and

priorities:o Appoint Personnel Staging Team personnel in collaboration with the Staging

Managero Determine strategies and how the tactics will be accomplishedo Determine needed resources


Brief area personnel on the situation, strategies, and tactics, and designate the time for next briefing



Activities Have personnel reporting to staging area sign in on Hospital Personnel Staging

Log Maintain the personnel staging area in an organized manner Consider whether personnel are to stay in the area or may return to normal work

location to be contacted with an assignment when needed Coordinate the delivery of needed personnel resources to requesting areas in

coordination with the Logistics Section Labor Pool and Credentialing Unit Leader and Transportation Unit Leader

Instruct all team personnel to evaluate personnel needs; report findings to the Staging Manager and the Logistics Section Labor Pool and Credentialing Unit Leader

Establish and maintain contact with the Planning Section Personnel Tracking Manager and the Logistics Section Labor Pool and Credentialing Unit Leader to share information and personnel status

Assess problems and needs in the area; coordinate resource management Communicate and meet regularly with the Staging Manager, other Staging Area

Team Leaders, and team personnel to discuss the plan of action, staffing in all activities, report status, and to relay important information

Consider development of a team action plan; submit to the Staging Manager if requested

Brief team personnel on current situation; outline area action plan and confirm time for next briefing

Advise the Staging Manager immediately of any operational issue you are not able to correct



a continual basis HICS 252: Distribute Section Personnel Time Sheet to team personnel; ensure

time is recorded appropriately, and submit it to the Finance/Administration Section Time Unit Leader at the completion of a shift or end of each operational period

Resources Assess issues and needs in area; coordinate resource management Ensure equipment, supplies, and personal protective equipment (PPE) are

available as needed



appropriately


Activities Transfer the Personnel Staging Team Leader role, if appropriate




o Conduct a transition meeting to brief your replacement on the current situation, response actions, available resources, and the role of external agencies in support of the hospital



Coordinate patient care support and staffo Continue coordinating delivery of needed personnel, equipment, supplies,

medications, and support services, working with the Logistics and Planning Sections and the Operations Section Branch Directors, as needed

o Coordinate the use of external resourceso Ensure documentation is completed correctly and collected

Ensure the prioritization of problems when multiple issues are presented Provide status updates to other Team Leaders Communicate regularly with the Staging Manager and the Operations Section Report resource problems and issues to the Staging Manager and the Logistics

Section Supply Unit Leader, as appropriate Advise the Staging Manager immediately of any operational issue you are not able

to correct Continue to meet regularly with the Staging Manager for status reports, and relay

important information.



continual basis


as needed





appropriately




Activities Transfer the Personnel Staging Team Leader role, if appropriate




Work with the Operations Section Chief and the Logistics Section Support Branch on the assignment of external resources

Continue to monitor the ability of the Personnel Staging Team to meet workload demands, personnel health and safety, resource needs, and documentation practices



continual basis

Resources Assess issues and needs in staging areas; coordinate resource management Ensure equipment, supplies, and personal protective equipment (PPE) are replaced

as needed


Safety and security Ensure that all team personnel continue to comply with safety procedures and





appropriately


Activities Transfer the Personnel Staging Team Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,


o Address any health, medical, and safety concerns



o Address political sensitivities, when appropriateo Instruct your replacement to complete the appropriate documentation and


As needs for Personnel Staging Team decrease, return staff to their normal jobs and combine or deactivate positions in a phased manner in coordination with the Planning Section Demobilization Unit Leader

Assist the Staging Manager and the Operations Section Chief with restoring hospital resources to normal operating conditions

Ensure the return, retrieval, and restocking of equipment and supplies Notify the Staging Manager when demobilization and restoration is complete Upon deactivation of your position, brief the Staging Manager on current problems,

outstanding issues, and follow up requirements Debrief area personnel on issues, strengths, areas of improvement, lessons

learned, and procedural or equipment changes, as needed Submit comments to the Planning Section Chief for discussion and possible




Documents/Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Personnel Staging Log Hospital Incident Specific Plans or Annexes Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


EQUIPMENT/SUPPLY STAGING TEAM LEADER

Mission: Organize and manage the deployment of supplementary vehicle resources.












Assume the role of Vehicle Staging Team Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Obtain information and status from Staging Areas and Operations Sections Provide information to the Staging Manager on the operational situation



priorities:o Appoint Vehicle Staging Team personnel in collaboration with the Staging




Activities Identify vehicle holding areas within the Staging Areas, as appropriate Maintain an organized area and inventory control



Coordinate the delivery and assignment of needed vehicles, working with the Logistics Section Transportation Unit

Establish and maintain contact with the Planning Section Materiel Tracking Manager and the Logistics Section Transportation Unit Leader to share information and vehicle status

Assess problems and needs in the area; coordinate resource management Communicate and meet regularly with the Staging Manager, other Staging Area

Team Leaders, and team personnel to discuss a plan of action, if needed, staffing for all activities, report status, and to relay important information

Consider development of a team action plan; submit to the Staging Manager if requested

Brief team personnel on the current situation; outline the area action plan, if used, and confirm the time for next briefing

Advise the Staging Manager immediately of any operational issue you are not able to correct






available as needed



appropriately


Activities Transfer the Vehicle Staging Team Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue coordinating the delivery and assignment of needed vehicles, working with the Logistics Section Transportation Unit




Coordinate the use of external resources Ensure the prioritization of problems when multiple issues are presented Ensure documentation is done correctly and collected Provide status updates to team leaders Communicate regularly with the Staging Manager and the Operations Section Chief Report resource problems and issues to the Staging Manager Advise the Staging Manager immediately of any operational issue you are not able

to correct Continue to meet regularly with the Staging Manager for status reports, and to relay

important information



continual basis


as needed





appropriately







Continue to monitor the ability of the Vehicle Staging Team to meet workload demands, personnel health and safety, resource needs, and documentation practices



o Rotate personnel on a regular basis



continual basis


as needed







appropriately






As needs for Vehicle Staging Team personnel decrease, return staff to their normal jobs and combine or deactivate positions in a phased manner in coordination with the Planning Section Demobilization Unit Leader


Ensure the return, retrieval, and restocking of equipment and supplies Notify the Staging Manager when demobilization and restoration is complete Upon deactivation of your position, brief the Staging Manager on current problems,








Documents/Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication



Mission: Organize and manage the deployment of supplementary equipment and supply resources.












Assume the role of Equipment/Supply Staging Team Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Obtain information and status from staging areas Provide information to the Staging Manager on the operational situation



priorities:o Appoint Equipment/Supply Staging Team personnel in collaboration with the

Staging Managero Determine strategies and how the tactics will be accomplishedo Determine needed resources





Activities Identify equipment holding areas within Staging Area, as appropriate Maintain an organized location and inventory control system Coordinate, in collaboration with the Logistics Section Transportation Unit

Leader, the delivery of needed equipment and supplies to requesting areas Communicate regularly with the Staging Manager and Staging Team personnelo Regularly report equipment and supply status to the Staging Managero Meet regularly with the Staging Manager for status reports, and relay important

information to team personnel Communicate regularly with other Staging Area Team Leaderso Meet with the Staging Manager and Team Leaders, as appropriate, to discuss

the plan of action and staffing for all activities Communicate regularly with other sectionso Report equipment and supply resource inventories to the Planning Section

Materiel Tracking Managero Report status of equipment and resource needs to the Logistics Section

Support Branch Consider development of a team action plan; submit to the Staging Manager if

requested Advise the Staging Manager immediately of any operational issue you are not able

to correct






available as needed



appropriately


Activities Transfer the Equipment/Supply Staging Team Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,








Continue coordinating delivery of needed equipment and supplies, working with the Logistics Section Supply Unit Leader, or others as appropriate

Ensure the following are being addressed:o Prioritization of problems when multiple issues are presented o Documentation is done correctly and collectedo Coordinated use of external resources

Provide status updates to team personnel Report resource problems and issues to the Staging Manager Advise the Staging Manager immediately of any operational issue you are not able





continual basis


as needed





appropriately








Monitor operations and documentation Continue to monitor the ability of the Equipment/Supply Staging Team to meet

workload demands, personnel health and safety, resource needs, and documentation practices



continual basis


as needed







appropriately






As needs for Equipment/Supply Staging Team decrease, return staff to their normal jobs and combine or deactivate positions in a phased manner in coordination with the Planning Section Demobilization Unit Leader


Ensure the return, retrieval, and restocking of equipment and supplies Notify the Staging Manager when demobilization and restoration is complete



Upon deactivation of your position, brief the Staging Manager on current problems, outstanding issues, and follow up requirements

Debrief area personnel on issues, strengths, areas of improvement, lessons learned, and procedural or equipment changes, as needed

Submit comments to the Planning Section Chief for discussion and possible inclusion in an After Action Report and Corrective Action and Improvement Plan. Topics include:o Review of pertinent position descriptions and operational checklistso Recommendations for procedure changeso Accomplishments and issues



Documents/Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


MEDICATION STAGING TEAM LEADER

Mission: Organize and manage the deployment of supplementary medications.












Assume the role of Medication Staging Team Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Obtain information and status from the Staging Manager and the Operations

Section Chief Provide information to the Staging Manager on the operational situation



priorities:o Appoint Medication Staging Team personnel in collaboration with the Staging


o Make assignments; distribute corresponding Job Action Sheets and position identification

Brief team personnel on the situation, strategies, and tactics, and designate time for next briefing



Activities Identify medication and pharmaceutical holding area in staging area, as

appropriate Maintain an organized area and inventory control system Instruct all team personnel to evaluate medication inventories and needs; report

the status to the Staging Manager Coordinate the delivery of needed medication resources to requesting area Assess problems and needs in each unit area, such as electrical power and

security; coordinate resource management Communicate regularly with the Staging Manager and team personnelo Regularly report medication supply status to the Staging Managero Meet regularly with the Staging Manager for status reports, and to relay

important information to Medication Staging Team Communicate regularly with the other Staging Area Team Leaders Report medication inventories to the Planning Section Materiel Tracking Manager Consider development of a team action plan; submit to the Staging Manager if

requested Advise the Staging Manager immediately of any operational issue you are not able

to correct






available as needed



appropriately


Activities Transfer the Medication Staging Team Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,







Continue coordinating the delivery of needed medications, working with the Logistics Section Supply Unit

Ensure the following are being addressed:o Documentation is done correctly and collectedo Inventory security and controlo Prioritizing problems when multiple issues are presentedo Maintaining medications at proper temperatureso Coordinating the use of external resources

Provide status updates to Team Leaders Report resource problems and issues to the Staging Manager and the Logistics

Section Supply Unit Leader, as appropriate Advise the Staging Manager immediately of any operational issue you are not able





continual basis


as needed




the Safety Officer and the Logistics Section Employee Health and Well-Being Unit Ensure personal protective equipment (PPE) is available and utilized appropriately







o Address political sensitivities, when appropriate



Continue to monitor the ability of the Medication Staging Team to meet workload demands, personnel health and safety, resource needs, and documentation practices



continual basis


as needed







appropriately






As needs for Medication Staging Team decrease, return staff to their normal jobs and combine or deactivate positions in a phased manner in coordination with the



Planning Section Demobilization Unit Leader Assist the Staging Manager and the Operations Section Chief with restoring hospital

resources to normal operating conditions Ensure the return, retrieval, and restocking of equipment and supplies Notify the Staging Manager when demobilization and restoration is complete Upon deactivation of your position, brief the Staging Manager on current problems,






Documents/Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Medication Staging Log Hospital Incident Specific Plans or Annexes Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


MEDICAL CARE BRANCH DIRECTOR

Mission: Organize and manage the delivery of emergency, inpatient, outpatient, casualty care, behavioral health, and clinical support services.











Receive appointment Obtain briefing from the Operations Section Chief on:o Size and complexity of incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Medical Care Branch Director Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the scope and impact of the incident; obtain information including:o Type and location of incidento Number and categories of expected patientso Estimated arrival time to hospitalo Unusual or hazardous environmental exposureo Any special circumstances that must be addressed due to the nature of the

incident, such as special languages, cultural needs, or security concerns Collaborate with Medical-Technical Specialists concerning medical care guidance Evaluate Medical Care Branch capacity to perform:o Inpatient careo Outpatient careo Casualty care o Behavioral health careo Clinical support services (e.g., laboratory, diagnostic imaging, pharmacy)

Provide information to the Operations Section Chief of the status

Determine the incident objectives, tactics, and assignments



Document branch objectives, tactics, and assignments on the HICS 204: Assignment List

Based on the incident objectives for the response period consider the issues and priorities:o Determine which Medical Care Branch functions need to be activated:

Inpatient Care Unit Outpatient Care Unit Casualty Care Unit Behavioral Health Unit Clinical Support Unit Patient Registration Unit

o Consider whether appropriate Medical-Technical Specialists may be needed and, if so, recommend their activation to the Incident Commander

If no Unit Leaders are assigned, complete the priorities from the Team Leader’s job action sheets. These priorities can be found on the in the blue shaded areas

o Make assignments, and distribute corresponding Job Action Sheets and position identification

o Determine strategies and how the tactics will be accomplishedo Determine needed resources

Brief branch personnel on the situation, strategies, and tactics, and designate time for next briefing

Activities Ensure the hospital’s Surge Plan is activated, as appropriate Ensure that set up and staffing of triage and treatment areas is appropriate to

the incident Ensure the new patients are rapidly assessed and moved to definitive care

locations (e.g., admission, surgery, discharge, transfer) Ensure pre-existing patients receive needed care and reassurance Ensure patient care documentation Coordinate with the Inpatient and Casualty Care Unit Leaders to prioritize

patient transfer needs Provide status updates to the Operations Section Chief regularly, advising of

accomplishments and issues encountered Consider development of a branch action plan; submit it to the Operations Section

Chief if requested Provide regular updates to branch personnel and inform them of strategy or tactical

changes, as needed

*** Priority Tasks from Reporting Position’s Job Action SheetsInpatient

Determine the status of inpatient patient care areas Determine staffing needs (place requests to labor pool as needed)

If needed: Assist with establishment of inpatient care areas in additional or new

locations, as necessary Instruct unit personnel to begin patient priority assessment and to designate

those eligible for early discharge; initiate discharges at the direction of the Incident Commander

Coordinate with the Planning Section for bed availability and tracking



Outpatient Determine the status of outpatient care areas Assess current capabilities and project immediate and prolonged capacities to

provide outpatient services Monitor transportation situations that impact scheduled outpatient

appointments Consider the ability of outpatient areas to operate under current conditions

(e.g., environmental, power or water outage, computer failure, etc.) Track and document all outpatient service admissions and dispositions;

provide data to the Planning Section Triage and prioritize patients to receive care

Casualty Care

Determine the status of casualty care areas; assess current capabilities, and project immediate and prolonged capacity to provide casualty care

Assess critical issues and treatment needs in casualty care areas Ensure establishment of primary and secondary communication capabilities in

casualty care areas Assist with establishment of casualty care areas in additional or new

locations, as needed Identify patient receiving areas and implement patient triage procedures with

designated locations for patients with Immediate, Delayed, Minor, Expired, and Expectant needs

Assist with establishment of treatment and morgue areas in additional or new locations, if necessary

Behavioral Health Meet with the Logistics Section Employee Health and Well-Being Unit Leader

to plan, project, and coordinate behavioral health needs of patients, families, and staff

Provide behavioral health guidance and recommendations to the Medical Care Branch Director based on response needs and potential triggers of psychological effects (e.g., trauma exposure, perceived risk to staff and family, restrictions on movement, resource limitations, and information unavailability)

Communicate with the Planning Section Chief to ensure: Bed availability in inpatient psychiatry units, if applicable Additional short and long range behavioral health response needs Medical community behavioral health care guidance Determine staffing needs and place requests with Operations Section Chief

for: behavioral health personnel, nurses, chaplains or experienced volunteers,

Determine equipment and supply needs Ensure availability of medications necessary to treat behavioral health

emergencies as needed

Clinical Support Determine the status of clinic support services Assist in maximizing capability of service areas to meet patient needs Consider cancellations of routine services, and/or possible changes in

staffing in all clinical support areas



Determine staffing needs and place request (possibly with labor pool)

Patient Registration Determine the status of patient registration for inpatient and outpatient services Assist in maximizing capability of service areas to quickly register inpatients

and outpatients



a continual basis HICS 252: Distribute Section Personnel Time Sheet to section personnel; ensure


Resources Determine equipment and supply needs; request from the Logistics Section

Supply Unit Leader and report to the Operation Section Chief Assess issues and needs in branch areas; coordinate resource management Make requests for external assistance, as needed, in coordination with the

Liaison Officer


Safety and security Ensure that all branch personnel comply with safety procedures and instructions Ensure personal protective equipment (PPE) is available and utilized appropriately Determine if communicable disease risk exists; implement appropriate response

procedures; collaborate with appropriate Medical-Technical Specialist, if activated


Activities Transfer the Medical Care Branch Director role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Evaluate the capability of the Medical Care Branch to provide inpatient, outpatient, casualty care, behavioral health, and patient registration services

Continue coordinating patient care, disposition of patients, and clinical services support




Ensure patient care needs are met, and that policy decisions to institute crisis standards of care guidelines are determined and communicated effectively

Activate supplemental staffing procedures as needed Assess environmental services or housekeeping needs in all clinical care and

clinical support areas Meet regularly with the Operations Section Chief for status reports Advise the Operations Section Chief immediately of any operational issue you are

not able to correct Relay updated clinical information and situation reports to Clinical Support Services

Unit Leader and other branch personnel; receive updates regularly Ensure patient data is collected and shared with appropriate internal and external

officials, in collaboration with the Liaison Officer



continual basis

Resources Assess issues and needs in branch areas; coordinate resource management Ensure equipment, supplies, and personal protective equipment (PPE) are replaced

as needed


Safety and security Ensure that all branch personnel comply with safety procedures and instructions

Ensure physical readiness through proper nutrition, water intake, rest, and stress management techniques

Ensure branch personnel health and safety issues are being addressed; report issues to the Safety Officer and the Logistics Section Employee Health and Well-Being Unit







Continue to monitor the capability of the Medical Care Branch to provide patient



care and clinical support services Provide updates to the Operations Section Chief and branch personnel Provide information to the Logistics and Planning Sections



continual basis


as needed


Safety and security Ensure that all branch personnel continue to comply with safety procedures and





appropriately






Assist the Operations Section Chief and unit leaders with restoring patient care and clinical support areas to normal operations

Ensure the return, retrieval, and restocking of equipment and supplies As objectives are met and needs decrease, return branch personnel to their usual

jobs and combine or deactivate positions in a phased manner in coordination with the Planning Section Demobilization Unit Leader

Notify the Operations Section Chief when demobilization and restoration is complete Coordinate reimbursement issues with the Finance/Administration Section Upon deactivation of your position, brief the Operations Section Chief on current

problems, outstanding issues, and follow up requirements Debrief branch personnel on issues, strengths, areas of improvement, lessons







Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet HICS 260 - Patient Evacuation Tracking Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Surge Plan Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


INPATIENT UNIT LEADER

Mission: Assure treatment of inpatients, manage the inpatient care areas, and provide for a controlled patient discharge.

Position Reports to: Medical Care Branch Director Command Location:










Receive appointment Obtain briefing from the Medical Care Branch Director on:o Size and complexity of incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Inpatient Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the status of inpatient patient care areas Assess critical issues and treatment needs in inpatient care areas Provide information to the Medical Care Branch Director on the status

Determine the incident objectives, tactics, and assignments Document unit objectives, tactics, and assignments on the HICS 204:


priorities:o Appoint Inpatient Unit personnel in collaboration with the Medical Care Branch

Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources

Brief unit personnel on the situation, strategies, and tactics, and designate time for next briefing

Activities Assist with establishment of inpatient care areas in additional or new locations,

as necessary



Instruct unit personnel to begin patient priority assessment and to designate those eligible for early discharge; initiate discharges at the direction of the Incident Commander and in coordination with the Medical Care Branch Director

Coordinate with the Planning Section Bed Tracking Manager for bed availability and tracking, as appropriate

Determine staffing needs and place requests with the Medical Care Branch Director

Provide status updates to the Medical Care Branch Director regularly to discuss the Incident Action Plan (IAP), advising of accomplishments and issues encountered

Consider development of a unit action plan; submit to the Medical Care Branch Director if requested

Provide regular updates to unit personnel and inform them of strategy changes as needed





HICS 260: Provide details on the Patient Evacuation Tracking form


Supply Unit Leader and report to the Medical Care Branch Director Assess issues and needs in unit areas; coordinate resource management


Safety and security Ensure that all unit personnel comply with safety procedures and instructions Ensure personal protective equipment (PPE) is available and utilized appropriately Determine if communicable disease risk exists; implement appropriate response

procedures; collaborate with appropriate Medical-Technical Specialists, if activated


Activities Transfer the Inpatient Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,







Continue coordination of care and disposition of patients Ensure patient records are correctly documented and collected Ensure patient care is prioritized effectively if crisis standards of care are enacted;

coordinate with Medical-Technical Specialist: Medical Ethicist as indicated Assess environmental services or housekeeping needs in all inpatient care areas In collaboration with the Medical Care Branch Director, prioritize and coordinate

patient transfers to other hospitals or locations with the Logistics Section Support Branch Director or Transportation Unit Leader, as appropriate

Meet regularly with the Medical Care Branch Director for status reports Communicate patient status and location information regularly to the Planning

Section Patient Tracking Manager Advise the Medical Care Branch Director immediately of any operational issue you

are not able to correct Relay important information and updates to unit personnel



continual basis

Resources Assess issues and needs in unit areas; coordinate resource management Ensure equipment, supplies, and personal protective equipment (PPE) are replaced

as needed


Safety and security Ensure that all unit personnel comply with safety procedures and instructions Ensure physical readiness through proper nutrition, water intake, rest, and stress

management techniques Ensure unit personnel health and safety issues are being addressed; report issues

to the Safety Officer and the Logistics Section Employee Health and Well-Being Unit Ensure personal protective equipment (PPE) is available and utilized

appropriately






Continue inpatient care supervision, including monitoring quality of care,



documentation, and safety practices Provide updates to the Medical Care Branch Director and unit personnel



continual basis


as needed


Safety and security Ensure that all unit personnel continue to comply with safety procedures and





appropriately






Ensure the return, retrieval, and restocking of equipment and supplies As objectives are met and needs decrease, return unit personnel to their usual jobs

and combine or deactivate positions in a phased manner in coordination with the Planning Section Demobilization Unit Leader

Notify the Medical Care Branch Director when demobilization and restoration is complete

Coordinate reimbursement issues with the Finance/Administration Section Upon deactivation of your position, brief the Medical Care Branch Director on

current problems, outstanding issues, and follow up requirements Debrief unit personnel on issues, strengths, areas of improvement, lessons learned,



and procedural or equipment changes as needed Submit comments to the Planning Section Chief for discussion and possible




Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet HICS 260 - Patient Evacuation Tracking Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Surge Plan Crisis Standards of Care Guidelines Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


OUTPATIENT UNIT LEADER

Mission: Organize and manage the delivery of outpatient services to meet the needs of existing patients and those that are incident related.












Assume the role of Outpatient Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the status of outpatient care areaso Assess current capabilities and project immediate and prolonged capacities to

provide outpatient services based on current datao Assess critical issues and treatment needs in outpatient care areaso Consider the impact transportation disruption may have on scheduled patient

appointments Provide information to the Medical Care Branch Director on the status



priorities:o Appoint Outpatient Unit personnel in collaboration with the Medical Care

Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources




Activities Monitor transportation situations that impact scheduled outpatient appointments Consider the ability of outpatient areas to operate under current conditions (e.g.,

environmental, power or water outage, computer failure, etc.) Track and document all outpatient service admissions and dispositions; provide

data to the Planning Section Patient Tracking Manager Triage and prioritize patients to receive care Provide discharged patients with verbal and written follow up instructions

including physician follow up and rescheduled appointments Provide status updates to the Medical Care Branch Director regularly to discuss

Incident Action Plan (IAP), advising of accomplishments and issues encountered Consider development of a unit action plan; submit to the Medical Care Branch

Director if requested Provide regular updates to unit personnel and inform them of strategy changes as

needed












Activities Transfer the Outpatient Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,



ensure that appropriate personnel are properly briefed on response issues and




objectives (see HICS Forms 203, 204, 214, and 215A) Continue to monitor environmental, transportation, and utility impacts on operations Continue coordination of care and disposition of patients Ensure patient records are correctly documented and collected Ensure patient care is prioritized effectively if crisis standards of care are enacted Assess environmental services or housekeeping needs in all outpatient care areas Meet regularly with the Medical Care Branch Director for status reports Advise the Medical Care Branch Director immediately of any operational issue you

are not able to correct



continual basis


as needed





appropriately






Continue to monitor environmental, transportation, and utility impacts on operations Monitor hospital or local pharmacy’s ability to fill prescriptions Continue outpatient care supervision, including monitoring quality of care,

documentation, and safety practices Provide updates to the Medical Care Branch Director and unit personnel





continual basis


as needed







appropriately












inclusion in an After Action Report and Corrective Action and Improvement Plan. Topics include:



o Review of pertinent position descriptions and operational checklistso Recommendations for procedure changeso Accomplishments and issues



Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet HICS 260 - Patient Evacuation Tracking Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Surge Plan Crisis Standards of Care Guidelines Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


CASUALTY CARE UNIT LEADER

Mission: Organize and coordinate the delivery of emergency care to arriving patients.












Assume the role of Casualty Care Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the status of casualty care areas; assess current capabilities, and

project immediate and prolonged capacity to provide casualty care based on current data

Assess critical issues and treatment needs in casualty care areas Ensure establishment of primary and secondary communication capabilities in

casualty care areas Provide information to the Medical Care Branch Director on the status



priorities:o Appoint Casualty Care Unit personnel in collaboration with the Medical Care





Activities Assist with establishment of casualty care areas in additional or new locations,

as needed Identify patient receiving areas and implement patient triage procedures with

designated locations for patients with Immediate, Delayed, Minor, Expired, and Expectant needs

Assist with establishment of treatment and morgue areas in additional or new locations, if necessary

Track and document all casualty care patients and their dispositions Triage and prioritize patients to receive care Provide status updates to the Medical Care Branch Director regularly to discuss

the Incident Action Plan (IAP), advising of accomplishments and issues encountered

Determine staffing needs and place requests with the Medical Care Branch Director



Facilitate patient dispositions to other areas for diagnostics, studies, observation, admission, or transfer





HICS 254: Ensure the Disaster Victim/Patient Tracking form is used to document triage, treatment, and disposition of incident victims

HICS 259: As directed by the Planning Section Patient Tracking Manager, document injuries and deaths on the Hospital Casualty/Fatality Report










Activities Transfer the Casualty Care Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue coordination of care and disposition of patients Ensure patient records are documented correctly and collected Ensure patient care is prioritized effectively if crisis standards of care are enacted Activate the Mass Fatality Plan, if needed, including:o Family notification with law enforcement and medical examiner or coroner

assistanceo Patient Family Assistance areaso Safe and respectful storage of remainso Area security and privacyo Proper handling of personal effectso Evidence preservation and chain of custodyo Documentationo Coordination with medical examiner or coroner

Assess environmental services or housekeeping needs in all casualty care areas Meet regularly with the Medical Care Branch Director for status reports Communicate patient status and location information regularly to the Planning

Section Patient Tracking Manager Advise the Medical Care Branch Director immediately of any operational issue you

are not able to correct



continual basis


as needed








appropriately






Continue casualty care area supervision, including monitoring quality of care, documentation, and safety practices

Provide updates to the Medical Care Branch Director and unit personnel



continual basis


as needed







appropriately








Assist the Medical Care Branch Director and Unit Leaders with restoring treatment areas and the morgue to normal operations



Notify Medical Care Branch Director when demobilization & restoration is complete Coordinate reimbursement issues with the Finance/Administration Section Upon deactivation of your position, brief the Medical Care Branch Director on






Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet HICS 254 - Disaster Victim/Patient Tracking HICS 259 - Hospital Casualty Fatality Report HICS 260 - Patient Evacuation Tracking Mass Fatality Plan Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Surge Plan Crisis Standards of Care Guidelines Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


BEHAVIORAL HEALTH UNIT LEADER

Mission: Address issues related to behavioral health emergency response, manage the behavioral health care area, and coordinate behavioral health response activities.












Assume the role of Behavioral Health Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Obtain information from the Medical Care Branch Director including:o Number and condition of expected patientso Estimated arrival time to hospitalo Locations of people who may or may not be victims of the event arriving at the

hospital or who are calling to ask for assistance o Any special circumstances that must be addressed due to the nature of the

incident, such as special languages, cultural needs, or security concerns Determine the status of behavioral health areas Assess current capabilities and project immediate and prolonged capacities to

address behavioral health needs based on current data, including coordinating behavioral health needs of patients, families, and staff

Provide information to the Medical Care Branch Director on the status



priorities:



o Appoint Behavioral Health Unit personnel in collaboration with the Medical Care Branch Director



Activities Meet with the Medical Care Branch Director and the Logistics Section Employee

Health and Well-Being Unit Leader to plan, project, and coordinate behavioral health needs of patients, families, and staff

Provide behavioral health guidance and recommendations to the Medical Care Branch Director based on response needs and potential triggers of psychological effects (e.g., trauma exposure, perceived risk to staff and family, restrictions on movement, resource limitations, and information unavailability)

Communicate with the Medical Care Branch Director and the Planning Section Chief to ensure:o Bed availability in inpatient psychiatry units, if applicableo Additional short and long range behavioral health response needso Medical community behavioral health care guidance

Determine staffing needs and place requests with the Medical Care Branch Director for behavioral health personnel, nurses, chaplains, experienced volunteers, etc., that can be deployed to key areas of the hospital to provide psychological support and intervention

Determine equipment and supply needs such as toys and coloring supplies for children, behavioral health disaster recovery brochures, fact sheets on specific hazards (e.g., information on chemical agents that include symptoms of exposure), a private area in the hospital where family members can wait for news regarding their loved ones, etc.

Ensure availability of medications necessary to treat behavioral health emergencies as needed

Provide status updates to the Medical Care Branch Director regularly to discuss Incident Action Plan (IAP), advising of accomplishments and issues encountered















Activities Transfer the Behavioral Health Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue to ensure that appropriate behavioral health standards of care are being followed and behavioral health needs are being met

Participate in the development of risk communication and public information that addresses behavioral health concerns

Ensure that patient status and location information is regularly submitted to the Planning Section Patient Tracking Officer

Prioritize and coordinate patient transfers with the Medical Care Branch Director and the Logistics Section Transportation Unit Leader

Coordinate with the Medical Care Branch Director and the Logistics and Planning Section Chiefs to expand or create a provisional behavioral health care area, if necessary



continual basis


as needed








appropriately






Continue behavioral health area supervision, including monitoring quality of care, documentation, and safety practices

Continue to ensure the behavioral health needs of patients and families are being met

Continue to ensure the provision of resources for behavioral health and recovery, and education to children, families, and those with special needs




continual basis


as needed







appropriately








Coordinate a plan to address the ongoing behavioral health needs of patients, families, and staff, in conjunction with the Logistics Section Employee Health and Well-Being Unit










Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital policies and procedures



Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


CLINICAL SUPPORT UNIT LEADER

Mission: Organize and manage all of the clinical support services providing assistance for the provision of patient care.












Assume the role of Clinical Support Services Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the status of clinic support services Assess current capabilities, and project immediate and prolonged capacities to

provide support services based on current data Assess critical issues and needs in support areas Provide information to the Medical Care Branch Director on the status



priorities:o Appoint Clinical Support Services Unit personnel in collaboration with the

Medical Care Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources

Pharmacy services Diagnostic imaging services Laboratory services Morgue services



Blood donor services Chaplaincy and social services


Activities Assist in maximizing capability of service areas to meet patient needs Meet with the Medical Care Branch Director to discuss plan of action, any

cancellations of routine services, and staffing in all clinical support areas Determine staffing needs and place request with the Medical Care Branch

Director Provide status updates to the Medical Care Branch Director regularly to discuss














Activities Transfer the Clinical Support Services Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,







Ensure all documentation is correctly prepared Meet regularly with the Medical Care Branch Director for status reports Advise the Medical Care Branch Director immediately of any operational issue you




continual basis


as needed





appropriately






Continue clinical support services supervision, including monitoring quality of care, documentation, and safety practices



Assignment List HICS 213: Document all communications on a General Message Form



HICS 214: Document all key activities, actions, and decisions in an Activity Log on a continual basis


as needed







appropriately

















Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Surge Plan Mass Fatality Plan Crisis Standards of Care Guidelines Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


PATIENT REGISTRATION UNIT LEADER

Mission: Organize and manage inpatient and outpatient registration.












Assume the role of Patient Registration Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the status of patient registration for inpatient and outpatient services Assess current capabilities and project immediate and prolonged capacities to

provide patient registration based on current data Assess critical issues and needs in registration areas Provide information to the Medical Care Branch Director on the status



priorities:o Appoint Patient Registration Unit personnel in collaboration with the Medical

Care Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources




Activities Assist in maximizing capability of service areas to quickly register inpatients and

outpatients Track inpatient and outpatient admissions and discharges in coordination with

the Planning Section Patient Tracking Manager Track and document all incoming and outgoing patients with the Planning

Section Situation Unit Leader Implement “downtime registration” procedure when needed Consider development of a unit action plan; submit to the Medical Care Branch

Director if requested





HICS 254: Ensure the Disaster Victim/Patient Tracking form is used to document triage, treatment, and disposition of incident victims







Activities Transfer the Patient Registration Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue coordination of rapid registration of inpatients and outpatients Provide patient registration information and updates to the Medical Care Branch

Director




Ensure all documentation and patient registration information is completed Assess environmental services or housekeeping needs in all registration areas Monitor “down time” registration process, if implemented, addressing any issues

that arise; keep the Medical Care Branch Director informed



continual basis


as needed





appropriately






Continue patient registration supervision, including monitoring of documentation and safety practices



continual basis

Resources



Assess issues and needs in unit areas; coordinate resource management Ensure equipment, supplies, and personal protective equipment (PPE) are replaced

as needed







appropriately

















Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet HICS 254 - Disaster Victim/Patient Tracking Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Surge Plan Crisis Standards of Care Guidelines Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


INFRASTRUCTURE BRANCH DIRECTOR

Mission: Organize and manage the services required to sustain and repair the hospital’s infrastructure operations: power/lighting; water/sewer, heating, ventilation, and air conditioning (HVAC), buildings/grounds; and medical gases.












Assume the role of Infrastructure Branch Director Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the scope and impact of the incident; obtain information including:o Type and location of incidento Unusual or hazardous environmental exposure

Assess the Infrastructure Branch’s capacity to deliver needed:o Heating, ventilation and air conditioning (HVAC)o Power and lightingo Telecommunicationso Potable and non-potable watero Medical gas deliveryo Sanitationo Road clearanceo Damage assessment and repairo Vertical transporto Hospital accesso Parking




Determine the incident objectives, tactics, and assignments Document branch objectives, tactics, and assignments on the HICS 204:


priorities:o Determine which Infrastructure Branch functions need to be activated:

Power/Lighting Unit Water/Sewer Unit HVAC Unit Building/Grounds Unit Medical Gases Unit

If no Team Leaders are assigned, complete the priorities from the Team Leader’s job action sheets. These priorities can be found in the blue shaded areas.




Activities Instruct all unit leaders to evaluate and inventory onsite equipment, supplies,

and available staff Initiate a hospital damage assessment in collaboration with the Logistics

Section, if needed; repair problems encountered Provide status updates to the Operations Section Chief regularly, advising of


Chief if requested Provide regular updates to branch personnel and inform them of strategy or tactical

changes, as needed

*** From reporting Unit Leader’s job sheets:Power/ Lighting:

Place emergency repair orders for power and lighting as indicated Provide power and lighting support to patient care areas, alternate care sites,

and other critical needs areas as needed Monitor fuel consumption and report resupply needs to the Logistics Section

Water/Sewer: Inspect the hospital’s water and sewer systems Activate the hospital Water Disruption and Conservation Plan, if necessary Place emergency repair orders for water and sewer as indicate Repair or correct hazards, leaks, or contamination with the assistance of the

Safety Officer and contractors Provide water, sewer, sanitation, and waste disposal support to patient care

areas, critical service areas, if needed

HVAC Inspection of the hospital’s HVAC systems, Place emergency repair orders for HVAC systems as indicated



Correct or repair hazards to HVAC systems with the assistance of the Safety Officer

Provide HVAC support to patient care areas and alternate care sites, etc. Evaluate positive and negative pressure status of isolation rooms Anticipate airflow response needs for internal and external environmental

hazards (climate, air plume, spills, etc.)

Building & Grounds Coordinate the inspection of the hospital’s buildings and grounds with the

Safety Officer Prepare a comprehensive report on the status of buildings Place emergency repair orders for buildings and grounds as indicated Repair or correct hazards to buildings and grounds with the assistance of the

Safety Officer

Medical Gases Ensure that clinical areas have medical gas resources as needed Dispatch pre-designated medical gases to casualty care areas Coordinate activities and inventories with the Logistics Section Supply Unit

Leader Place emergency orders for needed medical gases in coordination with the

Logistics Section Regularly report inventory status of medical gases to the Planning Section



a continual basis HICS 251: Document information in appropriate sections of Facility System Status

Report HICS 252: Distribute Section Personnel Time Sheet to section personnel; ensure




Liaison Officer


Safety and security Ensure that all branch personnel comply with safety procedures and instructions Ensure personal protective equipment (PPE) is available and utilized appropriately




Activities Transfer the Infrastructure Branch Director role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue coordinating hospital support services Ensure prioritization of problems when multiple issues are presented Ensure documentation records are completed correctly and collected Coordinate use of external resources to assist with maintenance and repairs Supervise salvage operations with the Operations Section Chief, if indicated Activate supplemental staffing plans as needed Meet regularly with the Operations Section Chief for status reports Advise the Operations Section Chief immediately of any operational issue you are

not able to correct Relay updated situation reports to branch personnel; receive updates regularly



continual basis


as needed


Safety and security Ensure that all branch personnel comply with safety procedures and instructions Ensure physical readiness through proper nutrition, water intake, rest, and stress

management techniques Ensure branch personnel health and safety issues are being addressed; report

issues to the Safety Officer and the Logistics Section Employee Health and Well-Being Unit









Continue to monitor the ability of the Infrastructure Branch to maintain infrastructure operations

Provide updates to the Operations Section Chief and branch personnel Provide information to the Logistics and Planning Sections



continual basis


as needed







appropriately








Assist the Operations Section Chief and unit leaders with restoring patient care and clinical support areas to normal operations









Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 251 - Facility System Status Report HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Utility Failure Incident Response Guide Hospital maps and ancillary services schematics Vendor support and repair directory Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


POWER/LIGHTING UNIT LEADER

Mission: Maintain primary and back-up power and lighting to the hospital and campus facilities.

Position Reports to: Infrastructure Branch Director Command Location:










Receive appointment Obtain briefing from the Infrastructure Branch Director on:o Size and complexity of incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Power/Lighting Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the operational status of power and lighting Assess critical issues, power, and lighting needs Provide information to the Infrastructure Branch Director on the status



priorities:o Appoint Power/Lighting Unit personnel in collaboration with the Infrastructure



Activities Place emergency repair orders for power and lighting as indicated; advise the

Infrastructure Branch Director of issues



Provide power and lighting support to patient care areas, alternate care sites, and other critical needs areas, etc.

Monitor fuel consumption and report resupply needs to the Logistics Section Supply Unit

Anticipate and react to recognized shortages or failures using appropriate emergency procedures

Ensure the security of the power plant in conjunction with the Security Branch Report any need for portable emergency power or lightening to the Infrastructure

Branch Director Provide status updates to the Infrastructure Branch Director regularly to discuss


Consider development of a unit action plan; submit to the Infrastructure Branch Director if requested







Supply Unit Leader and report to the Infrastructure Branch Director Assess issues and needs in unit areas; coordinate resource management


Safety and security Ensure that all unit personnel comply with safety procedures and instructions Ensure personal protective equipment (PPE) is available and utilized appropriately


Activities Transfer the Power/Lighting Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue to monitor and evaluate internal and external power and lighting usage and supply




Continue to anticipate and react to recognized shortages or failures using appropriate emergency procedures

Meet regularly with the Infrastructure Branch Director for status reports Advise the Infrastructure Branch Director immediately of any operational issue you




continual basis


as needed





appropriately






Continue Power/Lighting Unit supervision, including monitoring, documentation, and safety practices

Continue to provide effective power and lighting sustainment measures Request fuel, oil, and portable generators, etc. from the Logistics Section Support

Branch as needed Provide updates to the Infrastructure Branch Director and unit personnel

Documentation



HICS 204: Document assignments and operational period objectives on Assignment List

HICS 213: Document all communications on a General Message Form HICS 214: Document all key activities, actions, and decisions in an Activity Log on a

continual basis


as needed







appropriately








Notify the Infrastructure Branch Director when demobilization and restoration is complete

Coordinate reimbursement issues with the Finance/Administration Section Upon deactivation of your position, brief the Infrastructure Branch Director on



inclusion in an After Action Report and Corrective Action and Improvement Plan. Topics include:o Review of pertinent position descriptions and operational checklists



o Recommendations for procedure changeso Accomplishments and issues



Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Utility Failure Incident Response Guide Laptop with internet access, as available Power and lighting plan Emergency power distribution schematics Inventory and vendor supply lists Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


WATER/SEWER UNIT LEADER

Mission: Evaluate and monitor the availability and quality of existing water, sewage, and sanitation systems. Enact pre-established alternate methods of supply when needed.











Receive appointment Obtain briefing from the Infrastructure Branch Director on:

o Size and complexity of incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Water/Sewer Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the operational status of water and sewer systems Assess critical issues and water, sewer, sanitation and waste disposal needs Provide information to the Infrastructure Branch Director on the status



priorities:o Appoint Water/Sewer Unit personnel in collaboration with the Infrastructure



Activities Coordinate the inspection of the hospital’s water and sewer systems with the

Buildings/Grounds Unit Leader



Activate the hospital Water Disruption and Conservation Plan, if necessary Place emergency repair orders for water and sewer as indicated; advise the

Infrastructure Branch Director of issues Repair or correct hazards, leaks, or contamination with the assistance of the

Safety Officer, the Buildings/Grounds Unit Leader, and contractors Provide water, sewer, sanitation, and waste disposal support to patient care

areas, critical service areas, and alternate care sites, etc. Implement pre-established Alternative Waste Disposal and Collection Plan, if

necessary Position portable toilets in accessible areas, away from patient care and food

preparation, as necessary Anticipate and react to recognized shortages or failures using appropriate

emergency procedures Coordinate with the Infrastructure Branch Director to request external resource

assistance, if needed Coordinate with the Liaison Officer for contacting external authorities (e.g., public

health, water, or environmental services), as appropriate Inform all sections and areas of the hospital when implementing the Alternative

Waste Disposal and Collection Plan; notify infection control personnel of actions, and enlist assistance where necessary

Ensure the security of water and sewer systems, in conjunction with the Security Branch

Determine staffing needs and place requests with the Infrastructure Branch Director

Provide status updates to the Infrastructure Branch Director regularly to discuss the Incident Action Plan (IAP), advising of accomplishments and issues encountered














Activities Transfer the Water/Sewer Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue to monitor and evaluate water, sewage, sanitation, and waste disposal needs, usage, and supply

Ensure portable toilets are adequate in number and location Ensure portable toilets are emptied and needed supplies are regularly replaced Continue to anticipate and react to recognized shortages or failures using

appropriate emergency procedures Continue Alternative Waste Disposal and Collection Plan, if necessary Meet regularly with the Infrastructure Branch Director for status reports Advise the Infrastructure Branch Director immediately of any operational issue you




continual basis


as needed





appropriately


Activities Transfer the Water/Sewer Unit Leader role, if appropriate






Continue Water/Sewer Unit supervision including monitoring, documentation and safety practices

Continue to provide effective water, sewer, sanitation, and waste disposal sustainment measures, as needed

Provide updates to the Infrastructure Branch Director and unit personnel



continual basis


as needed







appropriately


Activities Transfer the Water/Sewer Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,














Documentation HICS 221: Demobilization Check-Out Ensure all documentation is submitted to the Planning Section Documentation

Unit

Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Utility Failure Incident Response Guide Laptop with internet access, as available Water Disruption and Conservation Plan Alternative Waste Disposal and Collection Plan Inventory and vendor supply lists Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


HEATING, VENTILATION, AND AIR CONDITIONING (HVAC) UNIT LEADER

Mission: Maintain heating, ventilation, and air conditioning (HVAC) to the hospital and campus facilities.












Assume the role of Heating, Ventilation, and Air Conditioning (HVAC) Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the operational status of HVAC systems Assess critical issues that may impact the HVAC needs Provide information to the Infrastructure Branch Director on the status



priorities:o Appoint HVAC Unit personnel in collaboration with the Infrastructure Branch



Activities Coordinate the inspection of the hospital’s HVAC systems, coordinating with the

Buildings/Grounds Unit Leader



Place emergency repair orders for HVAC systems as indicated; advise the Infrastructure Branch Director of issues

Correct or repair hazards to HVAC systems with the assistance of the Safety Officer, the Buildings/Grounds Unit Leader, and the Logistics Section Supply Unit Leader

Provide HVAC support to patient care areas and alternate care sites, etc. Evaluate positive and negative pressure status of isolation rooms Anticipate airflow response needs for internal and external environmental

hazards (climate, air plume, spills, etc.) Anticipate and react to recognized shortages or system failures using appropriate

emergency procedures Coordinate with the Infrastructure Branch Director to request external resource

assistance Ensure the security of HVAC systems in conjunction with the Security Branch Determine staffing needs and place requests with the Infrastructure Branch

Director Provide status updates to the Infrastructure Branch Director regularly to discuss













Activities Transfer Heating, Ventilation, and Air Conditioning (HVAC) Unit Leader role, if

appropriateo Conduct a transition meeting to brief your replacement on the current situation,







Continue to monitor and evaluate HVAC operations and needs Continue to anticipate and react to recognized shortages or failures using

appropriate emergency procedures Maintain operability of isolation rooms as needed Meet regularly with the Infrastructure Branch Director for status reports Advise the Infrastructure Branch Director immediately of any operational issue you




continual basis


as needed




to the Safety Officer and the Logistics Section Employee Health and Well-Being Unit Ensure personal protective equipment (PPE) is available and utilized appropriately


Activities Transfer the Heating, Ventilation, and Air Conditioning (HVAC) Unit Leader role, if





Continue HVAC Unit supervision including monitoring, documentation, and safety



practices Continue to provide effective HVAC sustainment measures Provide updates to the Infrastructure Branch Director and unit personnel



continual basis


as needed







appropriately


Activities Transfer the Heating, Ventilation, and Air Conditioning (HVAC) Unit Leader role, if









current problems, outstanding issues, and follow up requirements



Debrief unit personnel on issues, strengths, areas of improvement, lessons learned, and procedural or equipment changes as needed




Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Utility Failure Incident Response Guide Laptop with internet access, as available HVAC schematics Inventory and vendor supply lists Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


BUILDINGS/GROUNDS UNIT LEADER

Mission: Organize and manage the services required to sustain and repair the hospital’s buildings and grounds.












Assume the role of Buildings/Grounds Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the status of hospital buildings and grounds Assess critical issues relating to buildings and grounds Provide information to the Infrastructure Branch Director on the status



priorities:o Appoint Buildings/Grounds Unit personnel in collaboration with the

Infrastructure Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources


Activities Coordinate the inspection of the hospital’s buildings and grounds with the

Infrastructure Branch Director



Collect data from Buildings/Grounds Unit and prepare a comprehensive report on the status of buildings, in conjunction with the Infrastructure Branch Director

Place emergency repair orders for buildings and grounds as indicated; advise the Infrastructure Branch Director of issues

Repair or correct hazards to buildings and grounds with the assistance of the Safety Officer and the Infrastructure Branch Director

Anticipate immediate and short-term events and subsequent impacts to hospital status (e.g., earthquake aftershocks, storm surge)

Coordinate with the Infrastructure Branch Director to request external resource assistance, as needed

Provide comprehensive damage, buildings, and grounds status report to the Infrastructure Branch Director

Ensure the security of hospital buildings and grounds in conjunction with the Security Branch














Activities Transfer the Buildings/Grounds Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,








Continue to monitor and evaluate buildings and grounds needs Prepare for the possibility of evacuation, relocations, or expansion of medical

services outside of existing structure, if appropriate Coordinate internal repair activities, consulting when needed with external experts Meet regularly with the Infrastructure Branch Director for status reports Advise the Infrastructure Branch Director immediately of any operational issue you




continual basis


as needed





appropriately






Continue Buildings/Grounds Unit supervision including monitoring, documentation, and safety practices





continual basis


as needed







appropriately


















Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Utility Failure Incident Response Guide Laptop with internet access Hospital drawings, diagrams, and architectural plans Inventory and vendor supply lists Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


MEDICAL GASES UNIT LEADER

Mission: Organize and distribute medical gases to requesting clinical care areas.












Assume the role of Medical Gases Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the status of medical gas systems, available resources and supplies Provide information to the Infrastructure Branch Director on the status



priorities:o Appoint Medical Gases Unit personnel in collaboration with the Infrastructure



Activities Ensure that clinical areas have medical gas resources as needed Dispatch pre-designated medical gases to casualty care areas Coordinate activities and inventories with the Logistics Section Supply Unit

Leader



Place emergency orders for needed medical gases in coordination with the Logistics Section Supply Unit Leader

Regularly report inventory status of medical gases to the Planning Section Materiel Tracking Manager

Coordinate with the Infrastructure Branch Director to request resources not available from routine vendors or partners

Ensure the security of the medical gas storage areas, coordinating with the Security Branch














Activities Transfer the Medical Gases Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,







Monitor medical gases usage and supply Monitor the security of the medical gas storage in conjunction with the Security

Branch Ensure minimum of a 4 day supply of medical gases is available Restock casualty care areas as requested, and at least every 8 hours Meet regularly with the Infrastructure Branch Director for status reports Advise the Infrastructure Branch Director immediately of any operational issue you




continual basis


as needed





appropriately






Provide information to the Logistics and Planning Sections Provide updates to the Infrastructure Branch Director and unit personnel Continue to monitor medical gases status and inventory Continue to monitor the ability of the Medical Gases Unit to meet workload






continual basis


as needed







appropriately


















Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Utility Failure Incident Response Guide Laptop with internet access, as available Inventory and vendor supply lists Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


SECURITY BRANCH DIRECTOR

Mission: Coordinate all activities related to patient, staff, and hospital security such as access control, crowd and traffic control, search and rescue, and law enforcement interface.












Assume the role of Security Branch Director Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the scope and impact of the incident Provide information to the Operations Section Chief of the status



priorities:o Determine which Security Branch functions need to be activated:

Access Control Unit Crowd Control Unit Traffic Control Unit Search Unit Law Enforcement Interface Unit






Activities Collaborate and coordinate with the Safety Officer to implement safety plans Establish a Security Operations Center Identify and secure all hospital pedestrian and traffic points of entry, as

appropriate Consider the need for the following, and report findings to the Operations

Section Chief:o Activation of Explosive Incident Response Guide and bomb search of

designated areaso Establish access control or activation of emergency lockdowno Activation of Active Shooter Incident Response Guideo Activation of Hostage or Barricade Incident Response Guideo Provision of urgent security-related information to all personnel; coordinate

with Public Information Officero Utilization of appropriate personal protective equipment (PPE) by all security

personnelo Removal of unauthorized persons from restricted areaso Establishment of security for the Hospital Command Center (HCC), triage,

patient care, morgue, pharmacy, and other sensitive or strategic areas from unauthorized access

o Designation of alternate ambulance entry and exito Assignment of security personnel in decontamination areao Patrol of parking and shipping areas; monitor for suspicious activity or traffic

congestiono Maintain efficient and safe vehicle and pedestrian travel

Post non-entry or routing signage Coordinate immediate Security Branch personnel needs from current personnel

and local resources (e.g., police, sheriff, or other security forces) Provide status updates to the Operations Section Chief regularly, advising of


Chief if requested Provide regular updates to branch personnel and inform of strategy or tactical

changes, as needed







Liaison Officer






Activities Transfer the Security Branch Director role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Communicate to security personnel the need to take actions to secure unsafe areas and post non-entry signs

Ensure security personnel identify and report all hazards and unsafe conditions Ensure patient belongings and valuables are secure; initiate chain of custody

procedures if necessary Coordinate activities with local, state, and federal law enforcement, as appropriate;

coordinate with the Liaison Officer and the Law Enforcement Interface Unit Leader Coordinate with the Public Information Officer to establish areas for the media Ensure vehicular and pedestrian traffic control measures are working effectively Consider security protection for the following, as based on the nature and severity of

the incident:o Patients, staff, and visitorso Patient Family Assistance Centero Employee Family Assistance Centero Media Relations areao Decontamination areao Food, water, medical, blood, and pharmaceutical resourceso Radiation material storage areaso Heating, ventilation, and air conditioning (HVAC) locationso Medical gaseso Generatorso Oxygen storage siteo Utility closets

Ensure staff are rotated and replaced as needed Meet regularly with the Operations Section Chief for status reports Advise the Operations Section Chief immediately of any operational issue you are

not able to correct Relay updated situation reports to branch personnel and receive updates regularly Communicate status with external authorities, as appropriate, in coordination with

the Liaison Officer






continual basis


as needed











Continue to monitor the ability of the Security Branch to ensure security operations



continual basis


as needed





instructions

Observe all staff and volunteers for signs of stress and inappropriate behavior and report concerns to the Safety Officer and the Logistics Section Employee Health and Well-Being Unit Leader



appropriately






Secure or return patient belongings and valuables according to hospital policy; consult with Safety Officer and local law enforcement agencies, as appropriate

Determine when to resume normal security procedures; advise the Operations Section Chief of recommendation

Ensure removal of special signage after the incident is terminated Coordinate completion of work with law enforcement command Ensure personal protective equipment (PPE) used by Security is cleaned, repaired,

or replaced Ensure the return, retrieval, and restocking of equipment and supplies As objectives are met and needs decrease, return branch personnel to their usual







Documentation HICS 221: Demobilization Check-Out



Ensure all documentation is submitted to the Planning Section Documentation Unit

Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Active Shooter Incident Response Guide Hospital Hostage or Barricade Incident Response Guide Hospital Explosive Incident Response Guide Hospital blueprints and maps Hospital master entry card or key Hospital search guidelines and grids Hospital policies and procedures Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


ACCESS CONTROL UNIT LEADER

Mission: Ensure the security of the hospital and personnel by monitoring and controlling individuals entering and exiting the building.

Position Reports to: Security Branch Director Command Location:










Receive appointment Obtain briefing from the Security Branch Director on:o Size and complexity of incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Access Control Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the areas that need to be secured and level of access control Provide information to the Security Branch Director on the status



priorities:o Appoint Access Control Unit personnel in collaboration with the Security Branch



Activities Implement the hospital’s lockdown and personnel identification policies and

procedures, as appropriate, including identifying and securing all hospital pedestrian and traffic points of entry



Secure the Hospital Command Center (HCC), triage area, patient care areas, pharmacy, morgue, and other sensitive or strategic areas from unauthorized access

Monitor available closed circuit televisions (CCTVs) and intrusion alarm systems for security breaches

Identify and remove unauthorized persons from restricted areas with the assistance of hospital security personnel or local law enforcement

Provide status updates to the Security Branch Director regularly, advising of accomplishments and problems encountered

Provide regular updates to unit personnel and inform of strategy changes as needed

Ensure completion of appropriate security-specific and incident reports Consider development of a unit action plan; submit to the Security Branch Director

if requested






Supply Unit Leader and report to the Security Branch Director Assess issues and needs in unit areas; coordinate resource management




Activities Transfer the Access Control Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Coordinate with the Infrastructure Branch to secure and post non-entry signage around secure and unsafe areas

Secure evacuated areas to limit unauthorized personnel access Assist in verification of press credentials and ensure only authorized media




representatives are allowed in designated areas Continue to monitor available security related technology, reacting to alarms as the

situation warrants Report technology related issues to the Logistics Section Information

Technology/Information Services (IT/IS) and Equipment Unit Rotate staff and replace, activate staffing plan utilizing Labor Pool personnel as

needed Meet regularly with the Security Branch Director for status reports Advise the Security Branch Director immediately of any operational issue you are

not able to correct Relay important information and updates to unit personnel



continual basis


as needed





appropriately






Continue Access Control Unit supervision, including monitoring, documentation, and safety practices

Provide updates to the Security Branch Director and unit personnel





continual basis


as needed







appropriately








Notify the Security Branch Director when demobilization and restoration is complete Coordinate reimbursement issues with the Finance/Administration Section Upon deactivation of your position, brief the Security Branch Director on current

problems, outstanding issues, and follow up requirements Debrief unit personnel on issues, strengths, areas of improvement, lessons learned,


inclusion in an After Action Report and Corrective Action and Improvement Plan. Topics include:o Review of pertinent position descriptions and operational checklists



o Recommendations for procedure changeso Accomplishments and issues



Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Security Plan Hospital blueprints and maps Hospital master entry card or key Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


CROWD CONTROL UNIT LEADER

Mission: Maintain scene safety and ensure crowd control.












Assume the role of Crowd Control Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Evaluate measures needed to implement crowd control Provide information to the Security Branch Director on the status



priorities:o Appoint Crowd Control Unit personnel in collaboration with the Security Branch



Activities In coordination with the Access Control Unit Leader, implement the hospital’s

lockdown and personnel identification policies and procedures In coordination with the Access Control Unit Leader, identify and remove

unauthorized persons from restricted areas



Monitor parking garage and roadways for pedestrian and vehicle volumes Coordinate with local law enforcement, in collaboration with the Law

Enforcement Interface Unit Leader and the Liaison Officer, as necessary Prepare to manage crowd control issues due to large numbers of victims and

uninjured or asymptomatic people arriving on scene Provide status updates to the Security Branch Director regularly, advising of

accomplishments and problems encountered Provide regular updates to unit personnel and inform of strategy changes as

needed Ensure completion of appropriate security-specific and incident reports Consider development of a unit action plan; submit to the Security Branch Director

if requested










Activities Transfer the Crowd Control Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Prepare to address crowd control issues due to family members arriving at the hospital

Rotate staff and replace, activate staffing plan utilizing Labor Pool personnel as needed

Identify need for assistance or equipment and report to the Security Branch Director and the Logistics Branch Supply Unit Leader




Communicate status with external authorities, as appropriate, through the Security Branch Director and in coordination with the Liaison Officer

Meet regularly with the Security Branch Director for status reports Advise the Security Branch Director immediately of any operational issue you are




continual basis


as needed





appropriately






Continue Crowd Control Unit supervision, including monitoring, documentation, and safety practices








as needed







appropriately
















Documents and Tools



TRAFFIC CONTROL UNIT LEADER

Mission: Organize and enforce vehicular traffic security for the hospital.












Assume the role of Traffic Control Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Evaluate measures needed to implement traffic control Provide information to the Security Branch Director on the status



priorities:o Appoint Traffic Control Unit personnel in collaboration with the Security Branch



Activities In coordination with the Access Control Unit Leader and the Logistics Section

Transportation Unit Leader, establish entry and exit routes for designated vehicles (e.g., ambulance, patients, supplies, employees, visitors)



Provide traffic control for damaged areas and patient care areas, as needed Monitor parking and pedestrian traffic Consider the need for:o Controlling access to the campuso Coordination with local and regional traffic control and law enforcement

Potential triage at campus entrance Provide status updates to the Security Branch Director regularly, advising of



if requested










Activities Transfer the Traffic Control Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Provide vehicular traffic control Establish ingress and egress traffic patterns Rotate staff and replace, activate staffing plan utilizing Labor Pool personnel as

needed




Identify need for assistance or equipment and report to the Security Branch Director and the Logistics Section Supply Unit Leader

Consider the need for a unit action plan; submit to the Security Branch Director when requested





continual basis


as needed





appropriately






Continue Traffic Control Unit supervision, including monitoring, documentation, and safety practices



Assignment List



HICS 213: Document all communications on a General Message Form HICS 214: Document all key activities, actions, and decisions in an Activity Log on a

continual basis


as needed







appropriately






Remove traffic restriction signage Ensure the return, retrieval, and restocking of equipment and supplies As objectives are met and needs decrease, return unit personnel to their usual jobs





inclusion in an After Action Report and Corrective Action and Improvement Plan. Topics include:o Review of pertinent position descriptions and operational checklistso Recommendations for procedure changes



o Accomplishments and issues Participate in stress management and after action debriefings


Documents and Tools



SEARCH UNIT LEADER

Mission: Coordinate the search for suspicious devices and for patients, staff, or visitors during situations of security breaches or infrastructure damage.












Assume the role of Search Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the level of the threat and potential danger to patients, staff and visitors,

and any actions required Provide information to the Security Branch Director on the status



priorities:o Appoint Search Unit personnel in collaboration with the Security Branch



Activities In the event of a suspicious device found on site or bomb threat, consider:o Activation of Explosive Incident Response Plan


SEARCH UNIT LEADER

o Coordination with local law enforcement or bomb squad and the Law Enforcement Interface Unit

o Identification of areas that need to be searchedo Establishment of perimeters based on pre-event planningo Coordination of search activities and reporting system

For missing person (adult, child, or infant), consider:o Activation of Missing Person Incident Response Plano Identification of areas that need to be searchedo Coordination of search activities and reporting systemo Coordination with local law enforcement

In the event of damage to the hospital, consider:o Coordination of search activities with the Infrastructure Brancho Activation of defined search areas and patternso Ensuring searchers wear appropriate personal protective equipment (PPE)o Maintaining a log of any reported missing persons; provide information to the

Planning Section Situation Unit Obtain medical treatment for any persons found with injuries, and report injuries

to the Security Branch Director and Medical Care Branch Director Report any observed structural damage to the Infrastructure Branch Provide situation information to staff and patients as situation warrants in

collaboration with the Public Information Officer and Incident Commander Collaborate with the Safety Officer and the Infrastructure Branch as needed Provide status updates to the Security Branch Director regularly, advising of



if requested










SEARCH UNIT LEADER


SEARCH UNIT LEADER


Activities Transfer the Search Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Ensure that vital information being given to personnel is in collaboration with the Public Information Officer and the Incident Commander

Communicate status with external authorities, as appropriate, through the Security Branch Director and in coordination with the Liaison Officer






continual basis


as needed





appropriately





SEARCH UNIT LEADER



Continue Search Unit supervision, including monitoring, documentation, and safety practices

Provide updates to the Security Branch Director and unit personnel Provide updates to the Logistics and Planning Sections



continual basis


as needed







appropriately









SEARCH UNIT LEADER







Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Explosive Incident Response Plan Missing Person Incident Response Plan Hospital Security Plan Hospital blueprints and maps Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


SEARCH UNIT LEADER


LAW ENFORCEMENT INTERFACE UNIT LEADER

Mission: Coordinate security of the hospital with outside law enforcement agencies.












Assume the role of Law Enforcement Interface Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the type of interface that needs to occur with local, state, and federal

law enforcement Provide information to the Security Branch Director on the status



priorities:o Appoint Law Enforcement Interface Unit personnel in collaboration with the

Security Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources


Activities Serve as the point of contact to outside law enforcement agencies Coordinate with the Liaison Officer as needed



Working with the Infrastructure Branch, gather needed hospital information as requested by outside law enforcement personnel including building blueprints, engineering schematics, documentation, response plans, and procedures

Secure needed work space for outside law enforcement command personnel and negotiation team if requested

Coordinate and confirm that information being given to outside law enforcement agencies regarding the hospital and patient care status have been approved by the Incident Commander and the Security Branch Director

Address radio frequency compatibility issues with outside law enforcement personnel

Provide status updates to the Security Branch Director regularly, advising of accomplishments and problems encountered


Ensure completion of appropriate security-specific and incident reports Consider development of a unit action plan; submit to the Security Branch Director

if requested










Activities Transfer the Law Enforcement Interface Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Communicate status with external authorities, as appropriate, through the Security




Branch Director and in coordination with the Liaison Officer Rotate staff and replace, activate staffing plan utilizing Labor Pool personnel as

needed Meet regularly with the Security Branch Director for status reports Advise the Security Branch Director immediately of any operational issue you are




continual basis


as needed





appropriately






Continue Law Enforcement Interface Unit supervision, including monitoring, documentation, and safety practices








as needed







appropriately
















Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Security Plan Hospital building schematics, blueprints, and maps Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


HAZARDOUS MATERIALS (HAZMAT) BRANCH DIRECTOR

Mission: Organize and direct hazardous material (HazMat) incident response activities: detection and monitoring; spill response; victim, technical, and emergency decontamination; hospital and equipment decontamination.












Assume the role of Hazardous Materials (HazMat) Branch Director Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the scope and impact of the incident Obtain HazMat agent information from Poison Control Center, web sites, or

reference texts Evaluate special response needs to include:o Coordination with local or area external HazMat teamso Level and type of decontamination needed (e.g., dry, radiological, technical,

gross)o Collaborate with Medical-Technical Specialists concerning medical care

guidance Evaluate HazMat Branch capacity to perform:o Detection and monitoringo Spill responseo Victim decontaminationo Hospital and equipment decontamination

If the decon team is activated and no Unit Leaders are assigned, complete the priorities from the Unit Leader’s job action sheets. These priorities can be found in the blue shaded areas.






priorities:o Determine which HazMat Branch functions need to be activated:

Detection and Monitoring Unit Spill Response Unit Victim Decontamination Unit Facility/Equipment Decontamination Unit




Activities Ensure the hospital’s HazMat or Internal Spill Response Plan is activated Ensure the set up and staffing of decontamination areas as appropriate to the

incident Ensure the decontamination system and process is functional and meets

decontamination needs Ensure appropriate antidotes and supplies are delivered to the decontamination

area; coordinate with the Logistics Section Supply Unit Leader and the Operations Section Clinical Support Services Unit Leader

Review antidote administration procedures with decontamination personnel, if needed

Ensure patient valuables are collected and secured; coordinate with Security Branch

Notify the local water authority of the situation, as appropriate, and determine if containment of runoff is required

Ensure proper wastewater collection and disposal, in compliance with recommendations from the water authority, emergency management, local HazMat team, or fire department

Ensure hazard monitoring in open and closed spaces; coordinate with the Safety Officer

Coordinate with Security Branch to establish and maintain the perimeter of the HazMat and decontamination areas

Establish medical monitoring of decontamination team personnel; coordinate with the Logistics Section Employee Health and Well-Being Unit Leader

Provide status updates to the Operations Section Chief regularly, advising of accomplishments and issues encountered

Consider development of a branch action plan; submit it to the Operations Section Chief if requested

Provide regular updates to branch personnel and inform them of strategy or tactical changes, as needed

*** Priority Tasks from Reporting Position’s Job Action SheetsDetection and Response Unit

Ensure the set-up and functioning of detection and monitoring equipment, appropriate to identify and monitor the agent



Ensure hazard monitoring in open and enclosed spaces; coordinate with the Safety Officer


Spill Response Unit If the event is an internal HAZMAT spill – Ensure hospital Hazardous Materials (HazMat) Spill Response Plan is activated, including: Establishing a safe perimeter Containing the spill, if safe to do so Contacting a spill contractor or appropriate government response

agency, if needed Ensure decontamination team, if activated, is briefed on the situation

Victim Decon Unit Oversee the setup of decontamination areas to perform technical and

emergency decontamination for all ambulatory and non-ambulatory patients

Ensure medical monitoring of decontamination team personnel through the Logistics Section Employee Health and Well-Being Unit or other designated personnel

Ensure identification of hazardous agent through signs and symptom recognition, and HazMat team methodology

Ensure needed clinical management information including antidote usage is obtained from reference texts, Poison Control Center, and websites; share information with decontamination team personnel

Ensure timely processing of patients through decontamination per medical treatment and decontamination guidelines

Designate teams as needed and provide for the process of:o Prioritizing order of decontaminationo Scanning for radiationo Undressing, valuables collection, and securityo Washing and rinsingo Redressing, gowning, and rescanning

Determine rotation time for decontamination team personnel Collect and secure patient valuables; coordinate with the Security Branch

Facility & Equipment Decon Unit Oversee the setup of the decontamination area to handle equipment and

hospital decontamination Ensure proper wastewater collection and disposal, in compliance with

recommendations from the water authority, environmental protection authority, emergency management, local hazardous materials team, or fire department

Make necessary notifications to the water authority about containment practice being used

Coordinate with the Security Branch to establish and maintain a perimeter around the decontamination area


Assignment List



HICS 213: Document all communications on a General Message Form HICS 214: Document all key activities, actions, and decisions in an Activity Log on





Liaison Officer


Safety and security Ensure that all branch personnel comply with safety procedures and instructions Ensure personal protective equipment (PPE) is available and utilized

appropriately


Activities Transfer the Hazardous Materials (HazMat) Branch Director role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Ensure staff are rotated and replaced as needed Activate supplemental staffing plan as needed Ensure contaminated materials are disposed of properly Prepare for the possibility of evacuation or the relocation of the decontamination

area, as needed Coordinate internal repair activities with the Infrastructure Branch Determine the need for external support to supplement decontamination personnel

(e.g., other hospitals, local fire department); request them through the Liaison Officer

Integrate external support into operations Meet regularly with the Operations Section Chief for status reports Advise the Operations Section Chief immediately of any operational issue you are

not able to correct Relay important information to branch personnel and receive updates regularly Consult with Medical-Technical Specialists, as needed, to provide updated clinical

management information Track the results of medical monitoring of staff, in collaboration with the Logistics

Section Employee Health and Well-Being Unit Leader Ensure hazard monitoring continues and issues are addressed; coordinate with the




Safety Officer Continue to maintain security and chain of custody of all patient valuables and

contaminated clothing in coordination with the Security Branch



continual basis


as needed











Continue to manage HazMat operations, medical monitoring of staff, proper waste disposal, and ensure staff are rotated and replaced as needed



continual basis




as needed







appropriately






Secure or return patient belongings and valuables according to hospital policy; consult with the Safety Officer, Operations Section Security Branch Director, and local fire and law enforcement agencies, as appropriate

Ensure the HazMat Branch Units are notified to terminate operations Ensure the decontamination equipment is cleaned, repaired, and replaced as

needed Ensure proper disposal of waste material; coordinate cost issues with the

Finance/Administration Section Ensure the decontamination areas are decontaminated, commensurate with agent

and regulatory guidelines Ensure medical surveillance of staff is initiated as needed, in collaboration with

internal and external experts and the Logistics Section Employee Health and Well-Being Unit

Ensure medical monitoring data is collected and submitted to the Logistics Section Employee Health and Well-Being Unit for review and entry into personnel files



Notify the Operations Section Chief when demobilization and restoration is complete Coordinate reimbursement issues with the Finance/Administration Section



Upon deactivation of your position, brief the Operations Section Chief on current problems, outstanding issues, and follow up requirements

Debrief branch personnel on issues, strengths, areas of improvement, lessons learned, and procedural or equipment changes as needed




Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet HICS 258 - Hospital Resource Directory Hospital Emergency Operations Plan Occupational Safety and Health Administration (OSHA) First Receiver's Checklist Decontamination area drawings, procedures, and documentation logs Hospital Incident Specific Plans or Annexes Hospital Hazardous Materials (HazMat) or Internal Spill Response Plan Hospital policies and procedures Hospital blueprints and maps Hospital organization chart External resource directory (Poison Control Center, the Agency for Toxic Substances and

Disease Registry [ATSDR], the CHEMTREC hotline, etc Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


DETECTION AND MONITORING UNIT LEADER

Mission: Coordinate detection and monitoring activities related to hazardous material (HazMat) incident response.

Position Reports to: HazMat Branch Director Command Location:










Receive appointment Obtain briefing from the Hazardous Materials (HazMat) Branch Director on:o Size and complexity of incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Detection and Monitoring Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine what type of detection and monitoring is needed based on the situation Provide information to the HazMat Branch Director on the status



priorities:o Appoint Detection and Monitoring Unit personnel in collaboration with the

HazMat Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources


Activities Ensure the set-up and functioning of detection and monitoring equipment,

appropriate to identify and monitor the agent



Ensure hazard monitoring in open and enclosed spaces; coordinate with the Safety Officer


Provide status updates to the HazMat Branch Director regularly, advising of accomplishments and problems encountered


Consider development of a unit action plan; submit to the HazMat Branch Director if requested






Supply Unit Leader and report to the HazMat Branch Director Assess issues and needs in unit areas; coordinate resource management


Safety and Security Ensure that all unit personnel comply with safety procedures and instructions Ensure personal protective equipment (PPE) is available and utilized

appropriately


Activities Transfer the Detection and Monitoring Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Track results of medical monitoring of unit personnel, coordinate with the Logistics Section Employee Health and Well-Being Unit

Ensure hazard monitoring continues and issues are addressed; coordinate with the Safety Officer and Medical-Technical Specialists, as appropriate

Communicate status with external authorities, as appropriate, through the Hazardous Materials (HazMat) Branch Director and in coordination with the Liaison Officer





Meet regularly with the HazMat Branch Director for status reports Advise the HazMat Branch Director immediately of any operational issue you are




continual basis


as needed


Safety and Security Ensure that all unit personnel comply with safety procedures and instructions Ensure physical readiness through proper nutrition, water intake, rest, and stress



appropriately






Continue Detection and Monitoring Unit supervision including monitoring, documentation, and safety practices

Provide updates to the Hazardous Materials (HazMat) Branch Director and unit personnel






Resources Assess issues and needs in unit areas; coordinate resource management

Ensure equipment, supplies, and personal protective equipment (PPE) are replaced as needed







appropriately








Notify the Hazardous Materials (HazMat) Branch Director when demobilization and restoration is complete

Coordinate reimbursement issues with the Finance/Administration Section Upon deactivation of your position, brief the HazMat Branch Director on current








Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet HICS 258 - Hospital Resource Directory Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Hazardous Materials (HazMat) Incident Response Plan Hospital Hazardous Materials (HazMat) Spill Response Plan Hospital Security Plan Hospital Decontamination Plan HazMat agent reference materials Material Safety Data Sheets (MSDS) Hospital blueprints and maps Hospital organization chart External resource directory (Poison Control Center, the Agency for Toxic Substances and

Disease Registry [ATSDR], the CHEMTREC hotline, etc.) Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


SPILL RESPONSE UNIT LEADER

Mission: Coordinate on-site activities related to implementation of the hospital’s internal Hazardous Materials (HazMat) Spill Response Plan.












Assume the role of Spill Response Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the hazardous agent involved in the spill and required response Provide information to the HazMat Branch Director on the status



priorities:o Appoint Spill Response Unit personnel in collaboration with the HazMat Branch



Activities Ensure hospital Hazardous Materials (HazMat) Spill Response Plan is activated,

including:o Establishing a safe perimeter



o Containing the spill, if safe to do soo Contacting a spill contractor or appropriate government response agency, if

needed Ensure decontamination team, if activated, is briefed on the situation Provide status updates to the HazMat Branch Director regularly, advising of


needed Consider development of a unit action plan; submit to the HazMat Branch Director

if requested









appropriately


Activities Transfer the Spill Response Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Ensure hazard monitoring continues and issues are addressed; coordinate with the Safety Officer

Prepare for the possibility of evacuation or relocation of personnel Rotate staff and replace, activate staffing plan utilizing Labor Pool personnel as

needed Meet regularly with the HazMat Branch Director for status reports Advise the HazMat Branch Director immediately of any operational issue you are







continual basis


as needed





appropriately






Continue Spill Response Unit supervision including monitoring, documentation, and safety practices




continual basis

Resources



Assess issues and needs in unit areas; coordinate resource management Ensure equipment, supplies, and personal protective equipment (PPE) are replaced

as needed







appropriately

















Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Hazardous Materials (HazMat) Incident Response Plan Hazardous Materials (HazMat) Spill Response Plan Hospital Security Plan Hospital Decontamination Plan HazMat agent reference materials Material Safety Data Sheets (MSDS) Hospital blueprints and maps Hospital organization chart External resource directory (Poison Control Center, the Agency for Toxic Substances and



VICTIM DECONTAMINATION UNIT LEADER

Mission: Coordinate the onsite patient decontamination activities related to hazardous materials (HazMat) incident response.












Assume the role of Victim Decontamination Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the hazardous agent involved and the type of decontamination required Provide information to the HazMat Branch Director on the status



priorities:o Appoint Victim Decontamination Unit personnel in collaboration with the

HazMat Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources


Activities Oversee the setup of decontamination areas to perform technical and

emergency decontamination for all ambulatory and non-ambulatory patients



Ensure medical monitoring of decontamination team personnel through the Logistics Section Employee Health and Well-Being Unit or other designated personnel

Ensure identification of hazardous agent through signs and symptom recognition, and HazMat team methodology

Ensure needed clinical management information including antidote usage is obtained from reference texts, Poison Control Center, and websites; share information with decontamination team personnel

Ensure timely processing of patients through decontamination per medical treatment and decontamination guidelines

Designate teams as needed and provide for the process of:o Prioritizing order of decontaminationo Scanning for radiationo Undressing, valuables collection, and securityo Washing and rinsingo Redressing, gowning, and rescanning

Determine rotation time for decontamination team personnel Collect and secure patient valuables; coordinate with the Security Branch Ensure appropriate antidote supplies are delivered; coordinate with the Clinical

Support Unit and the Logistics Section Supply Unit Leader Manage adverse environmental conditions per the Decontamination Plan Ensure proper wastewater collection and disposal, in compliance with

recommendations from the water authority, environmental protection authority, emergency management, local hazardous materials team, or fire department

Collaborate with appropriate Medical-Technical Specialists to discuss decontamination operations and any special considerations or needs

Provide status updates to the HazMat Branch Director regularly, advising of accomplishments and problems encountered


Consider development of a unit action plan; submit to the HazMat Branch Director if requested











appropriately


Activities Transfer the Victim Decontamination Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Track results of medical monitoring of unit personnel, coordinate with the Logistics Section Employee Health and Well-Being Unit

Ensure hazard monitoring continues and issues are addressed; coordinate with the Safety Officer

Ensure security and chain of custody of personal belongings; coordinate with the Security Branch

Prepare for the possibility of evacuation or the relocation of the decontamination area


Meet regularly with the HazMat Branch Director for status reports Advise the HazMat Branch Director immediately of any operational issue you are




continual basis


as needed





appropriately








Continue Victim Decontamination Unit supervision including monitoring, documentation, and safety practices




continual basis


as needed







appropriately








objectives (see HICS Forms 203, 204, 214, and 215A) Ensure disposable materials, waste, and wastewater are properly managed

Address return of patient belongings with the Security Branch, law enforcement, fire department, and hazardous materials (HazMat) team

Ensure the decontamination area is decontaminated, commensurate with agent risks

Ensure medical surveillance of decontamination personnel is initiated per recommendations in collaboration with the Logistics Section Employee Health and Well-Being Unit

Notify the water authority when operations are terminated Notify the hazardous waste hauler that services are no longer needed; obtain final

documentation from hazardous waste hauler Ensure medical monitoring data on decontamination personnel is collected and

submitted to the Logistics Section Employee Health and Well-Being Unit for review and entry into personnel health files












Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet HICS 258 - Hospital Resource Directory Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Hazardous Materials (HazMat) Incident Response Plan Hospital Hazardous Materials (HazMat) Spill Response Plan Hospital Security Plan Hospital Decontamination Plan HazMat agent reference materials Material Safety Data Sheets (MSDS) Hospital blueprints and maps Hospital organization chart External resource directory (Poison Control Center, the Agency for Toxic Substances and



FACILITY/EQUIPMENT DECONTAMINATION UNIT LEADER

Mission: Coordinate the on-site hospital and equipment decontamination activities related to hazardous materials (HazMat) incident response.












Assume the role of Facility/Equipment Decontamination Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Identify the areas and equipment requiring decontamination and the hazardous

agent involved to assure appropriate resources are available Provide information to the HazMat Branch Director on the status



priorities:o Appoint Facility/Equipment Decontamination Unit personnel in collaboration

with the HazMat Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources


Activities Oversee the setup of the decontamination area to handle equipment and

hospital decontamination



Ensure proper wastewater collection and disposal, in compliance with recommendations from the water authority, environmental protection authority, emergency management, local hazardous materials team, or fire department

Make necessary notifications to the water authority about containment practice being used

Coordinate any requests for external resources with the HazMat Branch Director and the Logistics Section, as appropriate

Coordinate with the Security Branch to establish and maintain a perimeter around the decontamination area

Secure a hazardous waste hauler to remove contained rinsate Collaborate with appropriate Medical-Technical Specialists to discuss

decontamination operations and any special considerations or needs Provide status updates to the HazMat Branch Director regularly, advising of


needed Consider development of a unit action plan; submit to the HazMat Branch Director

if requested








Safety and Security Ensure that all unit personnel comply with safety procedures and instructions Ensure the use of appropriate personal protective equipment (PPE) for unit

personnel


Activities Transfer the Facility/Equipment Decontamination Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,







objectives (see HICS Forms 203, 204, 214, and 215A) Continue to coordinate internal decontamination activities, consulting with external

experts as needed Ensure hazard monitoring continues and issues are addressed, coordinate with the

Safety Officer Prepare for the possibility of evacuation or the relocation of the decontamination

area Ensure decontamination supplies are cleaned and replaced, as needed Ensure rinsate is being properly managed; utilize the assistance of a hazardous

waste hauler as needed Rotate staff and replace, activate staffing plan utilizing Labor Pool personnel as

needed Meet regularly with the HazMat Branch Director for status reports Advise the HazMat Branch Director immediately of any operational issue you are




continual basis


as needed





appropriately








objectives (see HICS Forms 203, 204, 214, and 215A) Continue Facility/Equipment Decontamination Unit supervision including monitoring,

documentation, and safety practices




continual basis


as needed







appropriately






Oversee decontamination of all supplies, equipment, and areas used in the response

Provide status update to the HazMat Branch Director when all supplies and equipment have returned to an operational state

Ensure disposable materials, waste, and wastewater are properly managed Address return of patient belongings with the Security Branch, law enforcement, fire

department, and local health department



Ensure the decontamination area is decontaminated, commensurate with agent risks

Ensure medical surveillance of decontamination personnel is initiated per recommendations of experts, in collaboration with the Logistics Section Employee Health and Well-Being Unit

Notify the water authority when operations are terminated

Notify the hazardous waste hauler that services are no longer needed; obtain final documentation from the hazardous waste hauler

Ensure medical monitoring data on decontamination staff is collected and submitted to the Logistics Section Employee Health and Well-Being Unit for review and entry into personnel health files










Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Hazardous Materials (HazMat) Incident Response Plan Hazardous Materials (HazMat) Spill Response Plan Hospital Security Plan Hospital Decontamination Plan HazMat agent reference materials Material Safety Data Sheets (MSDS) Hospital blueprints and maps



Hospital organization chart External resource directory (Poison Control Center, the Agency for Toxic Substances and



BUSINESS CONTINUITY BRANCH DIRECTOR

Mission: Ensure business functions are maintained, restored, or augmented as needed to minimize the financial or other impact of business interruptions.












Assume the role of Business Continuity Branch Director Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Provision of time sensitive data, records, and information (e.g., patient records,

contracts, payroll, etc.) Intranet and internet capabilities and functionality Data and business function recovery operations, including server, computer,

application support, and virus removal Expansion or relocation of business functions, including server, computer, and

application support Data access and security Access to business interruption insurance, in coordination with the

Finance/Administration Section Provide information to the Operations Section Chief of the status



priorities:o Determine which Business Continuity Branch functions need to be activated:

IT Systems and Applications Unit



Service Continuity Unit Records Management Unit

If no Unit Leaders are assigned, complete the on the Unit Leader’s job action sheets. These priorities can be found in the blue shaded areas on the following pages.




Activities Participate in the Operations Section planning meeting and incident action

planning; obtain and provide key information for operational activities Implement branch plans and monitor activities Communicate between Hospital Incident Management Team (HIMT) to

determine business recovery objectives and timeframes based on recovery capability, risk, and recovery priorities

In conjunction with the Finance/Administration Section, assess financial implications of interruption; consult legal counsel and the hospital’s business insurance carrier as needed

Ensure implementation of the hospital’s Business Continuity Plans Support department-level recovery operations (e.g., radiology, pharmacy,

purchasing, payroll, business office) Determine the ability to meet any recovery objectives for all impacted business

functions, and develop alternate systems to meet needs Ensure a system to access essential business records (e.g., patient medical

records, purchasing contracts) Assure activation of plans for expansion or relocation to alternate business

operation sites as needed, including:o Occupancy permitso Contractors for building modifications, communications and information

technology (IT) networking, and acquisition and transportation of furniture, equipment, and supplies

o Staffing plan (employees or vendor supplied)o Building security, housekeeping, and trash removal services

Assure activation of hospital-wide Information Technology (IT) Support Plan, including:o Support the Hospital Command Center (HCC) with equipment and software;

coordinate with the Logistics Section Information Technology/Information Services (IT/IS) and the Equipment Unit Leader on equipment issues

o Expansion of computer help-desk serviceso Vendor agreements to support operationso Utilization of downtime paperwork, and post event transfer of information

from hard copy to computer after system restoration when applicableo Evaluation of existing applications to include projected needs for additional

licenses, password permissions, storage, and hardware to support existing operations as well as those in an alternate location

o Virus removal operations Obtain information and updates regularly from the Operations Section Chief Maintain current status of all areas Inform the Operations Section Chief of activities that have occurred; keep updated

with status and utilization of resources and anticipated resource needs



Monitor and support as needed Infrastructure Branch, and the Logistics Section Information Technology/Information Services (IT/IS) and the Equipment Unit Leader


Provide regular updates to branch personnel and inform of strategy changes as needed

*** Priority Tasks from Reporting Position’s Job Action Sheets

IT Systems & Applications Unit Collaborate with the Logistics Section Information Technology/Information

Services (IT/IS) Equipment Unit Communicate personnel and resource needs to the Operations Section Chief Perform data and application recovery operations as prioritized in the

Business Recovery Plan (patient records, contracts, payroll, etc.) as needed.

Records Management Unit Assess and maintain hospital records; restore or expand services as

required Identify specific activities or resources needed to ensure ongoing access to,

or preservation of, hospital records Help to coordinate medical records to travel with any evacuated or

transferred patients Ensure proper documentation of damage (e.g., pictures, videos, etc.) for the Assess the need for relocation of critical records; coordinate space and staff

with the Logistics SectionServices Continuity Unit

Determine damage to data center and identify salvageable equipment Initiate repairs as needed Make recommendations to restore service



a continual basis HICS 251: As directed by the Infrastructure Branch Director, review and document

information in appropriate sections of the Facility System Status Report HICS 252: Distribute Section Personnel Time Sheet to section personnel; ensure


HICS 256: As directed by the Finance/Administration Section Procurement Unit Leader, log all purchases on a Procurement Summary Report

HICS 257: As directed by the Operations Section Chief, use the Resource Accounting Record to track equipment used during the response



Liaison Officer






Activities Transfer the Business Continuity Branch Director role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Communicate regularly with the Operations Section Chief Designate times for briefings and updates with Unit Leaders to develop or update

the Business Continuity Plans Schedule planning meetings with Unit Leaders to update the action plan and

demobilization procedures



continual basis


as needed







Activities



Transfer the Business Continuity Branch Director role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue to monitor the ability of the Business Continuity Branch to meet workload demands, personnel health and safety, resource needs, and documentation practices

Continue to assist in maintaining the HICS 257: Resource Accounting Record to track equipment used during the response

Conduct regular situation briefings Meet with unit leaders to address ongoing issues



continual basis HICS 257: As directed by the Operations Section Chief, use the Resource

Accounting Record to track equipment used during the response


as needed







appropriately


Activities Transfer the Business Continuity Branch Director role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,














Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 251 - Facility System Status Report HICS 252 - Section Personnel Time Sheet HICS 256 - Procurement Summary Report HICS 257 - Resource Accounting Record Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Business Continuity Plans Data Recovery Plan Access Control policies and procedures Information and Data Security Plan Records Management Plan Business interruption insurance documentation IT Application Support Plan Computer with intranet and internet connection Hospital schematics, blueprints and maps Hospital organization chart Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


IT SYSTEMS AND APPLICATIONS UNIT LEADER

Mission: Ensure information technology (IT), computers, networks, and applications remain operational, and are restored or augmented as needed to maintain the continuity of essential business operations.

Position Reports to: Business Continuity Branch Director Command Location:










Receive appointment Obtain briefing from the Business Continuity Branch Director on:o Size and complexity of incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of IT Systems and Applications Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine type and extent of monitoring needed, based on the situation Identify services that have been suspended and when they may be

reestablished Provide information to the Business Continuity Branch Director on the status



priorities:o Appoint IT Systems and Applications Unit personnel in collaboration with the

Business Continuity Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources




Activities As appropriate with Infrastructure Branch, ; collaborate with the Logistics Section Information Technology/Information

Services (IT/IS) Equipment Unit Communicate personnel and resource needs to the Business Continuity Branch

Director Perform data and application recovery operations as prioritized in the Business

Recovery Plan (patient records, contracts, payroll, etc.) or as directed by the Business Continuity Branch Director, including: o Computer recovery (computers, servers, peripherals, etc.)o Initiate system recovery of major platforms that support different applications,

network recovery of intranet and internet functions, and storage recovery for digital storage media and restoration

o Consider coordination with alternate (hot/warm/cold) data siteo Support expansion or relocation of business functions as indicated in the

Business Continuity Plano Receive, coordinate, and resolve requests for information technology (IT)

application support; assign to applications program administrators as appropriate

o Coordinate with the Logistics Section Information Technology/Information Services (IT/IS) Equipment Unit Leader on equipment replacement issues

o Ensure data access and security protocols are in placeo Resolve any issues concerning application licensing

Coordinate with the Logistics Section Communications Unit Leader on any voice over internet protocol (VOIP) issues

Support the IT needs of the Hospital Command Center (HCC) Resolve all operability and connectivity issues Provide status updates to the Business Continuity Branch Director regularly,

advising of accomplishments and problems encountered Provide regular updates to unit personnel and inform of strategy changes as

needed Consider development of a unit action plan; submit to the Business Continuity

Branch Director if requested



a continual basis HICS 251: As directed by the Infrastructure Branch Director, document information

in appropriate sections of the Facility System Status Report HICS 252: Distribute Section Personnel Time Sheet to section personnel; ensure




Supply Unit Leader and report to the Business Continuity Branch Director Assess issues and needs in unit areas; coordinate resource management





appropriately


Activities Transfer the IT Systems and Applications Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Monitor unit work performance, personnel's ability to meet workload demands, staff health and safety, resource needs, and documentation practices

Obtain and provide key information for information technology (IT) operational activities; maintain current status of all areas

Continue to coordinate with the Logistics Section Information Technology/Information Services (IT/IS) Equipment Unit on delivery and installation status of ordered equipment, applications, and supplies

Inform the Business Continuity Branch Director of activities that have occurred; keep updated with status and utilization of resources, as well as anticipated resources

Meet regularly with the Business Continuity Branch Director for status reports Advise the Business Continuity Branch Director immediately of any operational

issue you are not able to correct Relay important information and updates to unit personnel



continual basis HICS 251: As directed by the Infrastructure Branch Director, document information

in appropriate sections of the Facility System Status Report HICS 257: As directed by the Operations Section Chief, use the Resource



as needed

Communication Hospital to complete: Insert communications technology, instructions for use and




protocols for interface with external partners




appropriately






Continue to monitor the ability of the IT Systems and Applications Unit to meet workload demands, personnel health and safety, resource needs, and documentation practices

Meet with unit personnel to address ongoing issues Continue IT Systems and Applications Unit supervision including monitoring,

documentation, and safety practices Provide updates to the Business Continuity Branch Director and unit personnel



continual basis HICS 251: As directed by the Infrastructure Branch Director, document information

in appropriate sections of the Facility System Status Report HICS 257: As directed by the Operations Section Chief, use the Resource



as needed









appropriately








Notify the Business Continuity Branch Director when demobilization and restoration is complete

Coordinate reimbursement issues with the Finance/Administration Section Upon deactivation of your position, brief the Business Continuity Branch Director on








Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 251 - Facility System Status Report HICS 252 - Section Personnel Time Sheet HICS 257 - Resource Accounting Record Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital schematics, blueprints and maps Information and Data Security Plan IT Failure Incident Response Guide Business Continuity Plans Records Management Plan Data Recovery Plan Access Control policies and procedures IT Application Support Plan Hospital organization chart Hospital telephone directory Supply, equipment, and vendor directories Computer with intranet and internet access Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


SERVICES CONTINUITY UNIT LEADER

Mission: Ensure business, clinical, and support service functions are maintained, restored, or augmented to meet designated objectives. Work to minimize interruptions to continuity of essential business operations.












Assume the role of Services Continuity Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Identify services that have been suspended and when they may be




priorities:o Appoint Services Continuity Unit personnel in collaboration with the Business

Continuity Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources




Activities Evaluate business capabilities, recovery plan actions, projected minimum and

maximum duration of any disruptions, and progress in meeting any recovery objectives

Discuss plan of action and staffing in alternate business sites with the Business Continuity Branch Director

Coordinate activities with the other Business Continuity Units Provide status updates to the Business Continuity Branch Director regularly,












appropriately


Activities Transfer the Services Continuity Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Monitor unit work performance, ability of unit personnel to meet workload demands, staff health and safety, resource needs, and documentation practices

Evaluate all activated Business Continuity Plans and modify, as necessary, to complete any unmet objectives




Identify specific activities or resources needed to ensure timely resumption of business services

Coordinate with the Infrastructure Branch Director for access to critical power needs or building assessments





continual basis


as needed





appropriately






Monitor levels of all supplies, equipment, and needs relevant to all system performance detection and monitoring operations

Meet with unit personnel to address ongoing issues Continue to monitor the ability of the Services Continuity Unit to meet workload


Provide updates to the Business Continuity Branch Director and unit personnel





continual basis


as needed







appropriately


















Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes IT Failure Incident Response Guide Business Continuity and Recovery Plans Hospital blueprints and maps Hospital organization chart Hospital telephone directory Supply, equipment, and vendor directories Computer with intranet and internet access Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


RECORDS MANAGEMENT UNIT LEADER

Mission: Ensure vital business and medical records are maintained and preserved with limited or no interruption to essential information requests.












Assume the role of Records Management Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Identify services that have been suspended and when they may be




priorities:o Appoint Records Management Unit personnel in collaboration with the Business

Continuity Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources


Activities Assess and maintain hospital records; restore or expand services as required Identify specific activities or resources needed to ensure ongoing access to, or



preservation of, hospital records Activate Hospital Record Preservation Plan as needed:o Develop prioritization of document preservation or recovery, as directed by

the Business Continuity Branch Director: Paper-based medical and laboratory records Electronic Medical Records Business contracts, financial records Billing records Library materials Personnel records

Help to coordinate medical records to travel with any evacuated or transferred patients

Ensure proper documentation of damage (e.g., pictures, videos, etc.) for the Finance/Administration Compensation/Claims Unit

Evaluate if salvage can be done in-house with staff, or if a consultant or disaster recovery service is required

Assess the need for relocation of critical records; coordinate space and staff with the Logistics Section

Coordinate activities with the other Business Continuity Units as needed Provide status updates to the Business Continuity Branch Director regularly,













appropriately


Activities




Transfer the Records Management Unit Leader role, if appropriate




Monitor unit work performance, ability of unit personnel to meet workload demands, staff health and safety, resource needs, and documentation practices

Maintain current status of all areas Inform the Business Continuity Branch Director of activities that have occurred;

keep updated with status and utilization of resources, as well as anticipated resources








as needed





appropriately


Activities



Transfer the Records Management Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue to monitor the ability of the Records Management Unit to meet workload demands, personnel health and safety, resource needs, and documentation practices

Meet with unit personnel to address ongoing issues Monitor levels of all supplies, equipment, and needs relevant to all system

performance operations Continue Records Management Unit supervision including monitoring,

documentation, and safety practices Provide updates to the Business Continuity Branch Director and unit personnel






as needed







appropriately


Activities Transfer the Records Management Unit Leader role, if appropriate















Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet HICS 257 - Resource Accounting Record Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes IT Failure Incident Response Guide Hospital Record Preservation Plan Business Continuity and Recovery Plans Hospital organization chart Hospital telephone directory Supply, equipment, and vendor directories Computer with intranet and internet access Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


PATIENT FAMILY ASSISTANCE BRANCH DIRECTOR

Mission: Organize and manage the delivery of assistance to meet patient family care needs, including communication, lodging, food, health care, spiritual, and emotional needs that arise during the incident.












Assume the role of Patient Family Assistance Branch Director Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Assess the status of actual and projected patient family needs Provide information to the Operations Section Chief of the status



priorities:o Determine which Patient Family Assistance Branch functions need to be

activated: Social Services Unit Family Reunification Unit

If no Unit Leaders are assigned, complete the priorities from the Unit Leader’s job action sheets. These priorities can be found in the blue shaded areas on the following pages.


o Determine strategies and how the tactics will be accomplished



o Determine needed resources Brief branch personnel on the situation, strategies, and tactics, and designate time

for next briefing

Activities Ensure the provision of patient family assistance resources to children, families,

and those with special needs Coordinate external community resource requests with the Liaison Officer Ensure the following are being addressed: o Family reunificationo Social Service needso Cultural and spiritual needso Communication with law enforcement, outside government and non-

governmental agencies, and media through the Liaison Officer and Public Information Officer

o Documentation and record keepingo Patient family assistance area securityo Share up-to-date information with patients and their families

Provide status updates to the Operations Section Chief regularly, advising of accomplishments and issues encountered


Provide regular updates to branch personnel and inform them of strategy or tactical changes, as needed

*** Priority Tasks from Reporting Position’s Job Action Sheets

Social Services Unit Leader Assess the operational situation Determine the status of social services in the hospital and the community

Activities Meet with the Patient Family Assistance Branch Director to plan, project, and

coordinate patient social service needs Assess affected patients for social service needs Coordinate use of hospital, hospital partner, and community resources Ensure the provision of social services resources to children, families, and

those with special needs

Family Reunification Unit Leader Assess the need for a specific patient family reunification services or area Plan, project, and coordinate family reunification Activate family reunification area as needed Activate protocols for reunification of patients, including identification,

tracking, documentation, and communication









Liaison Officer


Safety and security Ensure that all branch personnel comply with safety procedures and instructions Ensure personal protective equipment (PPE) is available and utilized

appropriately


Activities Transfer the Patient Family Assistance Branch Director role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue to ensure the provision of patient family assistance resources to children, elders, and those with special needs

Continue to coordinate external community resource requests with the Liaison Officer

Continue to ensure the following are being addressed: o Patient family reunificationo Social Service needso Cultural and spiritual needso Communication with law enforcement, outside government and non-


o Documentation and record keepingo Patient family assistance area securityo Share up-to-date information with patients and their families

Meet regularly with the Operations Section Chief for status reports Advise the Operations Section Chief immediately of any operational issue you are

not able to correct Ensure patient data is collected and shared with appropriate internal and external

officials, in collaboration with the Liaison Officer



continual basis





as needed











Continue to ensure the provision of patient family assistance resources to children, elders, and those with special needs

Continue to coordinate external community resource requests with the Liaison Officer

Continue to ensure the following are being addressed: o Patient family reunification o Social Service needso Cultural and spiritual needso Communication with law enforcement, outside government and non-


o Documentation and record keepingo Patient family assistance area security



continual basis




as needed







appropriately






Assist the Operations Section Chief and unit leaders with restoring family assistance areas to normal operations








Documentation



HICS 221: Demobilization Check-Out Ensure all documentation is submitted to the Planning Section Documentation Unit

Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital Surge Plan Hospital policies and procedures Hospital organization chart Hospital resource directory Community resource directory Hospital telephone directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


FAMILY REUNIFICATION UNIT LEADER

Mission: Organize and manage the services and processes required to assist in family reunification.

Position Reports to: Patient Family Assistance Branch Director Command Location:










Receive appointment Obtain briefing from the Patient Family Assistance Branch Director on:o Size and complexity of incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Family Reunification Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Assess the need for a specific patient family reunification services or area,

including:o Current capabilities and projected capacities to address needs based on

current datao Coordinating needs of affected patients, their families, and staff

Provide information to Patient Family Assistance Branch Director on the status



priorities:o Appoint Family Reunification Unit personnel in collaboration with the Patient

Family Assistance Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources





coordinate family reunification Activate family reunification area as needed Activate protocols for reunification of patients, including identification, tracking,

documentation, and communication Ensure the provision of reunification resources to children, families, and those with

special needs Activate protocols for communication with families regarding patient status and

location Ensure cultural and spiritual needs are addressed Provide interpreters or translation services Coordinate through the Liaison Officer with government point-of-contact for

community tracking and reunification Coordinate through the Liaison Officer with non-governmental entities for

community tracking and reunification, such as the American Red Cross (ARC) Identify transportation needs; including special needs such as disabled access;

coordinate transportation with the Logistics Section Transportation Unit as needed for reunification locations on and off site

Ensure that proper procedures for safe release of patients are followed; consider special needs of minors, non-English speaking patients, and those in custody; consult with appropriate Medical-Technical Specialists as needed.

Determine staffing needs and place requests with the Patient Family Assistance Branch Director

Provide status updates to the Patient Family Assistance Branch Director regularly, advising of accomplishments and problems encountered


Consider development of a unit action plan; submit to the Patient Family Assistance Branch Director if requested






Supply Unit Leader and report to the Patient Family Assistance Branch Director Assess issues and needs in unit areas; coordinate resource management



appropriately




Activities Transfer the Family Reunification Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Participate in the development of risk communication and public information messages that address reunification issues

Ensure that patient reunification information is regularly submitted to the Patient Family Assistance Branch Director and the Planning Section Documentation Unit Leader

Prioritize and coordinate patient transfers with the Patient Family Assistance Branch Director and the Logistics Section Transportation Unit Leader

Continue to ensure that appropriate documentation and standards of care are being followed, and that needs are being met

Meet regularly with the Patient Family Assistance Branch Director for status reports Advise the Patient Family Assistance Branch Director immediately of any

operational issue you are not able to correct Relay important information and updates to unit personnel



continual basis


as needed





appropriately


Activities Transfer the Family Reunification Unit Leader role, if appropriate






Continue to ensure the provision of reunification resources to children and families and those with special needs

Continue to coordinate communication with:o Patients and familieso Law enforcement, outside government and non-governmental agencies, and

media through the Liaison Officer and Public Information Officero Agencies such as the American Red Cross (ARC)o National systems such as the National Emergency Child Locator Center, and

National Emergency Family Registry and Locator System, when appropriateo Media outlets, missing children agencies, websites, call centers, and toll-free

numbers as needed through the Public Information Officer Meet with unit personnel to address ongoing issues Continue Family Reunification Unit supervision, including monitoring,

documentation, and safety practices Provide updates to Patient Family Assistance Branch Director and unit personnel


Assignment List HICS 213: Document all communications on a General Message Form HICS 214: Document all key activities, actions, and decisions in an Activity Log


as needed


Safety and security Ensure that all unit personnel continue to comply with safety procedures Observe all staff and volunteers for signs of stress and inappropriate behavior and




appropriately


Activities



Transfer the Family Reunification Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Coordinate a plan to address the ongoing needs of patients, families, and staff, in conjunction with the Logistics Section Employee Health and Well-Being Unit



Notify the Patient Family Assistance Branch Director when demobilization and restoration is complete

Coordinate reimbursement issues with the Finance/Administration Section Upon deactivation of your position, brief the Patient Family Assistance Branch

Director on current problems, outstanding issues, and follow up requirements Debrief unit personnel on issues, strengths, areas of improvement, lessons learned,





Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital organization chart Hospital telephone directory Local public health reporting forms Community resource directory Hospital resource directory Directory of communication and translation services Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication


SOCIAL SERVICES UNIT LEADER

Mission: Organize and manage support to meet patient social service requirements during a disaster, coordinating with community and government resources.

Position Reports to: Patient Family Assistance Branch Director Command Location:










Receive appointment Obtain briefing from the Patient Family Assistance Branch Director on:o Size and complexity of incidento Expectations of the Incident Commandero Incident objectiveso Involvement of outside agencies, stakeholders, and organizationso The situation, incident activities, and any special concerns

Assume the role of Social Services Unit Leader Review this Job Action Sheet Put on position identification (e.g., position vest) Notify your usual supervisor of your assignment

Assess the operational situation Determine the status of social services in the hospital and the community

including:o Housing and shelters (e.g., hotels, motels, and community facilities)o Government authorized care siteso Medically fragile care siteso Food and water distribution centers and resources (e.g., Meals-on-Wheels)o Clothing distribution centerso Community warming and cooling stationso Medical transportationo Non-medical transportation, including bus routes, taxi and shuttle services,

and handicapped or disabled transport serviceso Pharmacies, including 24 hour availabilityo Faith-based organizationso Pet and animal shelterso Interpreters or translation serviceso Child, adult, and dependent day careo Access to government services (such as food stamps, government aid,

Federal Emergency Management Agency [FEMA] assistance centers)



o Insurance response and coordination centerso American Red Cross (ARC), Salvation Army, other community resources

Assess current capabilities and project immediate and prolonged capacities to address needs based on current data, including coordinating needs of patients, families, and staff

Provide information to the Patient Family Assistance Branch Director on the status



priorities:o Appoint Social Services Unit personnel in collaboration with the Patient Family

Assistance Branch Directoro Determine strategies and how the tactics will be accomplishedo Determine needed resources



coordinate patient social service needs Assess affected patients for social service needs Coordinate use of hospital, hospital partner, and community resources Ensure the provision of social services resources to children, families, and those

with special needs Provide guidance and recommendations to the Patient Family Assistance Branch

director based on response needs Implement communication with patient family members, as appropriate Provide status updates to the Patient Family Assistance Branch Director regularly,


needed Consider development of a unit action plan; submit to the Patient Family

Assistance Branch Director if requested






Supply Unit Leader and report to the Patient Family Assistance Branch Director Assess issues and needs in unit areas; coordinate resource management




Safety and Security Ensure that all unit personnel comply with safety procedures and instructions Ensure personal protective equipment (PPE) is available and utilized appropriately


Activities Transfer the Social Services Unit Leader role, if appropriateo Conduct a transition meeting to brief your replacement on the current situation,




Continue to ensure that appropriate documentation is completed and that needs are being met

Participate in the development of risk communication and public information that addresses social service concerns

Meet regularly with the Patient Family Assistance Branch Director for status reports Advise the Patient Family Assistance Branch Director immediately of any

operational issue you are not able to correct Relay important information and updates to unit personnel



continual basis


as needed




to the Safety Officer and the Logistics Section Employee Health and Well-Being Unit Ensure personal protective equipment (PPE) is available and utilized appropriately



response actions, available resources, and the role of external agencies in



support of the hospitalo Address any health, medical, and safety concernso Address political sensitivities, when appropriate


Continue to ensure social service needs of patients and families are being met Continue to ensure the provision of resources for social service to children, families,

and those with special needs Meet with unit personnel to address ongoing issues Continue Social Services Unit supervision, including monitoring, documentation,

and safety practices Provide updates to the Patient Family Assistance Branch Director and unit

personnel



continual basis


as needed







appropriately








Coordinate a plan to address the ongoing social service needs of patients, families, and staff, in conjunction with the Logistics Section Employee Health and Well-Being Unit



Notify the Patient Family Assistance Branch Director when demobilization and restoration is complete

Coordinate reimbursement issues with the Finance/Administration Section Upon deactivation of your position, brief the Patient Family Assistance Branch

Director on current problems, outstanding issues, and follow up requirements Debrief unit personnel on issues, strengths, areas of improvement, lessons learned,





Documents and Tools

HICS 203 - Organization Assignment List HICS 204 - Assignment List HICS 213 - General Message Form HICS 214 - Activity Log HICS 215A - Incident Action Plan (IAP) Safety Analysis HICS 221 - Demobilization Check-Out HICS 252 - Section Personnel Time Sheet Hospital Emergency Operations Plan Hospital Incident Specific Plans or Annexes Hospital organization chart Hospital telephone directory Supply, equipment, and vendor directories Community resource directory Hospital resource directory Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication
